Surgical therapeutics and operative technique . s at some distancebeyond the circumference of the neoplasm. Second Stage.—Resection of malar bone, as extensively as is necessary,with the Liston forceps and gouge-forceps. Third Stage.—Formation of autoplastic flap. Fourth Stage.—Coaptation and suture of this flap to the peripheryof the wound. Sarcoma. Sarcoma of the cheek which is nearly always due to extension of anosteo-sarcoma of the maxilla, is usually diffuse and inoperable. I have,however, extirpated, with, permanent success, a fibrosarcoma of the jaw,which had eroded the inferior maxflla


Surgical therapeutics and operative technique . s at some distancebeyond the circumference of the neoplasm. Second Stage.—Resection of malar bone, as extensively as is necessary,with the Liston forceps and gouge-forceps. Third Stage.—Formation of autoplastic flap. Fourth Stage.—Coaptation and suture of this flap to the peripheryof the wound. Sarcoma. Sarcoma of the cheek which is nearly always due to extension of anosteo-sarcoma of the maxilla, is usually diffuse and inoperable. I have,however, extirpated, with, permanent success, a fibrosarcoma of the jaw,which had eroded the inferior maxflla by compression, and had formedan extensive hollow in its substance, but without adhesion. Tumours of the Parotid Region. The tumours of most frequent occurrence in the parotid region aretuberculous adenopathies. Among the tumours of the lymphatic glandsare also found lymphadenoma, which in such cases has become generalizedin the lymphatic glands. Tumours of the parotid gland are sometimes 50 SURGICAL THERAPEUTICS AND OPERATIVE TECHNIQUE. Fig. 103 —Epithelioma of Central Portion of Cheek which has extensively INVADED the SkIN, AND IS ADHERENT TO THE MaLAR BONE.


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