Oral surgery; a text-book on general surgery and medicine as applied to dentistry . al gingiva; e. lip. to admit a rubber drain the size of a lead pencil. The nextstep was to stitch together with catgut the labial and buccalgingival margins, thus closing off the field of operationentirely from the oral cavity. (Figs. 37 and 38.) Post-operative History.—The two gingival marginscompletely united and not a drop of pus was ever found inthe oral cavity. The drainage established from below wasquite sufficient to carry off the small quantity of reparative 186 DISEASES OF THE MANDIBLE lympli and detri
Oral surgery; a text-book on general surgery and medicine as applied to dentistry . al gingiva; e. lip. to admit a rubber drain the size of a lead pencil. The nextstep was to stitch together with catgut the labial and buccalgingival margins, thus closing off the field of operationentirely from the oral cavity. (Figs. 37 and 38.) Post-operative History.—The two gingival marginscompletely united and not a drop of pus was ever found inthe oral cavity. The drainage established from below wasquite sufficient to carry off the small quantity of reparative 186 DISEASES OF THE MANDIBLE lympli and detritus and the patient was practically well inten days after his operation. This method of obliterating cavities is applicable regard-less of the extent of operation, whether of one or manyteeth, or of the mandible or the maxilla, or whether of thealveolus or of half of the body. It is well in such cases todisinfect the cavity and close it off as nearly as possible. Inboth instances iodin should be used to disinfect and aneffort should be made to obliterate the cavity in order to. Fig. 39.—Osteomyelitis of the Mandible. preserve blood-clot organization. In neither of these casesshould the wound be packed, because the blood-clot of re-pair will be destroyed. Besides, the soft tissues will bepushed away from the bone and, further, death of bonemust be expected. It is not advisable, however, to establish drainage as inthis case, except in very extensive destructions. In view ofthe almost certain possibility of a spontaneous opening insevere cases, an incision made where the scar will show theleast is preferable to the establishment of an opening wherethe scar may be dimpled and on the external surface of thebone. CHEMICAL NECROSIS 187 (2) Figure 39 shows a girl, aged five years, who had ex-tensive enlargement over the left angle of the was a sinns three inches below this bone just at theposterior margin of the platysma leading up to the sinuses also t
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1912
