. Injuries and diseases of the jaws : the Jacksonian prize essay of the Royal College of Surgeons of England, 1867. OPERATIONS ON THE UPPER JAW. or less permanent success. Mr. Butcher, who has labo-riously investigated the subject, puts the earliest case in 1693,the operator being Akoluthus, a physician at Breslau. De-sault, (Jarengeotj Jourdain, and others in the last centuryremoved growths from the jaw, gonging them out withchisels with partial and temporary success; and Dupuytrenespecially advocated this mode of treatment in his Le90usOrales, and frequently practised it, removing in this ma
. Injuries and diseases of the jaws : the Jacksonian prize essay of the Royal College of Surgeons of England, 1867. OPERATIONS ON THE UPPER JAW. or less permanent success. Mr. Butcher, who has labo-riously investigated the subject, puts the earliest case in 1693,the operator being Akoluthus, a physician at Breslau. De-sault, (Jarengeotj Jourdain, and others in the last centuryremoved growths from the jaw, gonging them out withchisels with partial and temporary success; and Dupuytrenespecially advocated this mode of treatment in his Le90usOrales, and frequently practised it, removing in this mannerthe greater part of the npper jaw in 1824. Charles White,of Manchester, appears also to have successfully operated ona patient, from whom he removed, piecemeal, nearly thewhole of the upper maxilla during the last century. The late Mr. John Lizars, of Edinbiugh, appears to havebeen the first to propose removal of the entire superiormaxilla as a whole in 1826, when, in his System of Ana-tomical Plates, he showed how, anatomically, it would bepossible to remove the bone without injury to important Fig. and vital parts, and recommended the previous deligationof the common carotid artery, with a view of preventinghaemorrhage. Mr. Lizars did not have an opportunity ofcarrying his proposition into effect until December, 1827,when, notwithstanding the ligature applied to the carotid,the hsemorrhage was so fearful as to necessitate a discon-tinuance of the operation {Lancet, 1829-30). M. Gensoul,of Lyons, had, however, forestalled Mr, Lizars quite inde-pendently and without being aware of his proposition, for OPERATIONS ON THE UPPER JAW. 317 in May, 1827, he removGcl the entire superior maxillary bone,with a part of the palate, from a boy of seventeen, onaccount of a larsje fibro-cartilaoinous tumour. The incisionemployed by G-ensoul (fig, 141*) was a vertical one from thecorner of the eye to the lip, joined midway at right anglesby a transverse incision, which was again met
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