The practice of surgery . W MercurioSyphilitic Carie3 of the Skull, a. A portion detached, in the form of sequestrum. risk to life by purulent accumulation between the bone and dura mater;and, if no external aperture already exists, as by fracture, the use ofthe trephine is demanded (p. 54). Exfoliation, or death of the external portion, is more frequent thancomplete necrosis ; the result either of external injury, or of chronicidiopathic pericranitis. The usual course of superficial necrosis is fol-lowed here as elsewhere. Ordinarily, we await patiently spontaneousseparation, and then remove
The practice of surgery . W MercurioSyphilitic Carie3 of the Skull, a. A portion detached, in the form of sequestrum. risk to life by purulent accumulation between the bone and dura mater;and, if no external aperture already exists, as by fracture, the use ofthe trephine is demanded (p. 54). Exfoliation, or death of the external portion, is more frequent thancomplete necrosis ; the result either of external injury, or of chronicidiopathic pericranitis. The usual course of superficial necrosis is fol-lowed here as elsewhere. Ordinarily, we await patiently spontaneousseparation, and then remove the sequestrum. Sometimes, when detach-ment is tedious, acceleration may be effected by the application of es-charotics [Principles, 3d Am. Ed. p. 436). And sometimes it is ne-cessary to interfere and forcibly elevate the dead portion, which, though 84 AFFECTIONS OF THE CRANIUM. Fig. 14. L_ f
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