Oral surgery; a text-book on general surgery and medicine as applied to dentistry . Reproduction on Mandible of Bone Destroyed. by the same surgeon. October 16th there were several dis-charging sinuses through the skin below the bone and sev-eral openings into the mouth, all discharging patient lost weight and was suffering with constitu-tional sepsis. A radical operation was advised. Operationthrough the mouth was done under a general anesthetic. CHEMICAL NECROSIS 191 Incisions were made along the process and external sulcusas necessary to remove the sequestra. The teeth that we
Oral surgery; a text-book on general surgery and medicine as applied to dentistry . Reproduction on Mandible of Bone Destroyed. by the same surgeon. October 16th there were several dis-charging sinuses through the skin below the bone and sev-eral openings into the mouth, all discharging patient lost weight and was suffering with constitu-tional sepsis. A radical operation was advised. Operationthrough the mouth was done under a general anesthetic. CHEMICAL NECROSIS 191 Incisions were made along the process and external sulcusas necessary to remove the sequestra. The teeth that wereloose were removed. The cavity from which the bones wereremoved extended throughout the length of the bone, asindicated above. Some small bones were removed at sub-sequent times without anesthetic. The patient made a per-fect recovery and was entirely well in a few weeks. There. Fig. 43.—Suppurative Periostitis of the Mandible. (Dr. J. Howard Crawford.) was no deformity of the face. With a partial lower plate,functional usefulness of the parts was practically normal.(Figs. 40, 41, 42.) Illustrative Case of Periostitis.—Figure 43 shows ex-tensive suppuration of the entire alveolar process of themandible, with the teeth and gum practically floating in pus,the buccal alveolar process being bare throughout. The author saw the case thirty days after the onset ofthe trouble, when all of the teeth had been extracted. Op- 192 DISEASES OF THE MANDIBLE eration similar to the one described in the preceding casewas performed, which inclnded the removal of the externalhalf of the mandible and all of the teeth throughout, back tothe lingual plate and to the bottom of the sockets. Thelabial and lingual gingival margins were sutured through-out with thirty-day catgut, and drainage established under-neath the chin. The case did not, however, repair sopromptly as the one j
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1912
