Oral surgery; a text-book on general surgery and medicine as applied to dentistry . iently subsides to permit of it. Ditfenbach was the first to recommend and practice theformation of a false joint in the mandible for the reestab-lishment of mandibular motion. Esmarch recommendedthat a V-shaped section be removed from the bone. Riz-zole was first to state that the false joint should be anteriorto the cicatricial band causing the occlusion. Helferickrecommends resection of the condyle and reports successes,as does Lentz by the same method. The internal maxillaryartery should be ligated to preve
Oral surgery; a text-book on general surgery and medicine as applied to dentistry . iently subsides to permit of it. Ditfenbach was the first to recommend and practice theformation of a false joint in the mandible for the reestab-lishment of mandibular motion. Esmarch recommendedthat a V-shaped section be removed from the bone. Riz-zole was first to state that the false joint should be anteriorto the cicatricial band causing the occlusion. Helferickrecommends resection of the condyle and reports successes,as does Lentz by the same method. The internal maxillaryartery should be ligated to prevent hemorrhage after theoperation. Arbuthnot Lane, of London, reports four cases PERMANENT ANKYLOSIS 381 successfully treated by this method, and states that failurefollows insufficiently free removal of bone. All of theseoperators interpose a portion of the masseter muscle or fas-cia between the cut surface of bone to prevent union. El-liott, of Boston, reports success following resection of thecondyles in a boy aged twelve. Recently the Gigli wire saw has been introduced, which. Fig. 187.—Resection of the Mandibular Condyle. (After Roe.) takes the place of all other methods in making sectionthrough bones in deep structures. It is flexible, cuts on allsides, and can be passed around a bone through a skinwound of small size. Pneumonia, typhoid fever and the exanthemas havecaused osseous ankylosis. In the following case the causewas smallpox. Case Report.—The patient was forty-four years oldwhen operated upon. When eight years of age he hadsmallpox, resulting in complete ankylosis of the right 382 ANKYLOSIS temporo-mandibular articulation, with no motion, and theapproximation of the teeth was so complete that the crownsof the cuspids and the bicuspids had ulcerated through thegums, covering the opposite process. He was compelled tolive on liquids or to force solid particles of food throughbetween the teeth, yet he was well nourished and hadworked at his trade as a boiler-make
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1912
