. Virginia medical semi-monthly. ared; ittends to irritate the skin in many cases andthus render a secondary infection possible. Asuperficial incision in the skin is now madeto indicate the area of the operation, and thentowels wet in a 1-3000 solution of bichlorideare clipped to the scalp at each side of this incision; in this manner the head is completelycovered and the towels cannot become disar-ranged so that there is little danger of infec-tion. By using the method of manual pressure ateach side of the incision and the forefinger ofthe assistant to compress the temporal arteryas it passes
. Virginia medical semi-monthly. ared; ittends to irritate the skin in many cases andthus render a secondary infection possible. Asuperficial incision in the skin is now madeto indicate the area of the operation, and thentowels wet in a 1-3000 solution of bichlorideare clipped to the scalp at each side of this incision; in this manner the head is completelycovered and the towels cannot become disar-ranged so that there is little danger of infec-tion. By using the method of manual pressure ateach side of the incision and the forefinger ofthe assistant to compress the temporal arteryas it passes over the zygoma, the incision canbe made with very little loss of blood—a mostimportant factor in all cranial operations; acranial tourniquet cannot be used in this oper-ation and the other methods for controllinghemorrhage of the scalp, such as suturing thescalp, clipping of the scalp, etc., are not onlytime consuming, troublesome and even danger-ous by increasing the risk of infection, butthey are ineffective in many Rioht Subtemporal The Temporal Muscle. ( ft) Its Origim Along The PfiRIETftL CREST AND ITS ft TTR C H M E NT To Tm E. Coromoid Process (B). The Dotted ,Smow The Extent Of TheDecompression Opening (z ix s), Protected ByThe Overlying Temporal Direction Or The Fibres Shows HowEasy It Is to Separate Them Longitudinally. The incision itself is made vertically up-wards through the scalp from a point justabove the zygoma and one-half of an inch an-terior to the external auditory meatus to themiddle of the parietal crest and thus overly-ing the origin of the temporal muscle; it isabout three to three and one-half inches inlength, and is parallel to the fibres of the un-derlying temporal muscle. Small curvedha?mostats are used to compress the branchesof the temporal artery and then the temporalfascia is incised vertically and the fibres of thetemporal muscle are split longitudinally andretracted, exposing the squamous portion o
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