. Manual of operative surgery. , the coronoid process,the incisura semilunaris, the zygoma, etc. As a consequence simple divisionof the articular process is insufficient to give motion, and even when combinedwith osteotomy of the coronoid it often fails and resection of a part of the fullwidth of the upper portion of the ascending ramus becomes necessary. Facialparalysis is more common as a result of tearing and distraction than of acci-dental division with knife or chisel. Recurrence is avoided by extensive removalof bone, by the implantation between the fragments of muscle or even of metalpl
. Manual of operative surgery. , the coronoid process,the incisura semilunaris, the zygoma, etc. As a consequence simple divisionof the articular process is insufficient to give motion, and even when combinedwith osteotomy of the coronoid it often fails and resection of a part of the fullwidth of the upper portion of the ascending ramus becomes necessary. Facialparalysis is more common as a result of tearing and distraction than of acci-dental division with knife or chisel. Recurrence is avoided by extensive removalof bone, by the implantation between the fragments of muscle or even of metalplates, and by early passive and active motion. Monod and Van verts stronglyrecommend osteotomy of the ascending ramus as being easier than resectionof the neck of the bone, as efficient, and not liable to cause injury to the facialnerve. Rochets method of operating is as follows: Step I.—Make an incision bordering the angle of the jaw. About one inchof this incision runs along the lower edge of the horizontal ramus, and about.
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