Surgical therapeutics and operative technique . Fig. 44.—Cirsoid Angioma of Lower Lip. Showing by translucency of integuments the two afferent arterial trunks and their ramifying branchlets. application of two long forceps with elastic jaws. Interstitial injectionsof a 1 in 50 solution of cocaine are used, taking care to anaesthetize theskin by application of ethyl chloride. 20 SURGICAL THERAPEUTICS AND OPERATIVE TECHNIQUE Angiomata. Angiomata of very limited extent should be extirpated with the blood escapes if incision is made at a distance of 2 to 3 millimetresbeyond the mar
Surgical therapeutics and operative technique . Fig. 44.—Cirsoid Angioma of Lower Lip. Showing by translucency of integuments the two afferent arterial trunks and their ramifying branchlets. application of two long forceps with elastic jaws. Interstitial injectionsof a 1 in 50 solution of cocaine are used, taking care to anaesthetize theskin by application of ethyl chloride. 20 SURGICAL THERAPEUTICS AND OPERATIVE TECHNIQUE Angiomata. Angiomata of very limited extent should be extirpated with the blood escapes if incision is made at a distance of 2 to 3 millimetresbeyond the margin of the cavernous tissue. Diffuse angiomata can be cured only by complicated operations. Incases in which extirpation is impossible, either at once or in a number ofstages, good results are obtained by dilaceration of the cavernous tissues, which. Fig. 45.—Cirsoid Angioma of Lower Lip. Dissection of mucous membrane, and ligature of the two afferent arteries,arteries beyond the ligature, and extirpation of angioma. Section of is effected by small incisions with a blunt instrument, or even with thefinger. The operation is followed by antiseptic tamponing. It is repeateda number of times at intervals of several weeks. The inflammatory pro-cesses finally obliterate the cavernous spaces. I have met with a curious case of cirsoid angioma of the lower lip, whichis represented in Figs. 44 and 45. Malignant Tumours. Epithelioma. Epithelioma is in most cases so characteristic in appearance that it isunpardonable to neglect it. I must, however, mention the occasionaloccurrence of apparently simple ulceration of the lips in persons affectedwith buccal psoriasis, which prove histologically to be formed of pavementepithelioma containing epidermic globular nests. Early diagnosis of thissmall epithelioma requires great clinical experience.
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