The science and art of surgery : being a treatise on surgical injuries, diseases, and operations . be not perforated, it iswrong to interfere, as a cure by opera-tive procedure must be hopeless. When-ever the soft structures of the cheek areinvolved so as to require partial excisionwith the tumor, no operation should beperformed; as the disease will probablyhave become constitutional, it cannot becompletely extirpated, and will speedilyrecur in the cicatrix. When the upperjaw on both sides is atfected, as some-times, though rarely, has happened, it isclear that the tumor cannot be removed(Pig.


The science and art of surgery : being a treatise on surgical injuries, diseases, and operations . be not perforated, it iswrong to interfere, as a cure by opera-tive procedure must be hopeless. When-ever the soft structures of the cheek areinvolved so as to require partial excisionwith the tumor, no operation should beperformed; as the disease will probablyhave become constitutional, it cannot becompletely extirpated, and will speedilyrecur in the cicatrix. When the upperjaw on both sides is atfected, as some-times, though rarely, has happened, it isclear that the tumor cannot be removed(Pig. 582). Operations on the Upper Jaw.—The Operations that have been practised for the removal of tumors springing from the upper jaw are of threekinds. They consist of—1, Scooping out of the Tumor; 2, Partial Ex-cision of the Superior Maxilla; and 3, its Complete Removal with orwithout the Malar Bone. Por operations on the upper jaw, the Surgeon will require strong cut-ting pliers, and two or three narrow-bladed saws, with handles set atdifferent angles, and having movable backs (Pig. 583).. Fig. 582.—Malignant Tumor of the UpperJaw, involving the whole of the Bonesof the Face: not admitting of Operation.


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Keywords: ., bookcent, bookdecade1870, booksubjectsurgicalproceduresoperative