Annals of surgery . fe. At the end of four months,however, the swelling had distinctly increased in size and therewas evidence of pressure efifects on the upper jaw. Immediateoperation was therefore advised. The skin was reflected by anincision similar to that employed by Weber for resection of theupper jaw, and the growth, which had also extended backwardsalong the floor of the orbit for about one-half inch, enucleatedwith but little loss of blood. There were apparently no musclefibres in the cheek and at the completion of operation nothingremained but bone and very thin skin. After resecting
Annals of surgery . fe. At the end of four months,however, the swelling had distinctly increased in size and therewas evidence of pressure efifects on the upper jaw. Immediateoperation was therefore advised. The skin was reflected by anincision similar to that employed by Weber for resection of theupper jaw, and the growth, which had also extended backwardsalong the floor of the orbit for about one-half inch, enucleatedwith but little loss of blood. There were apparently no musclefibres in the cheek and at the completion of operation nothingremained but bone and very thin skin. After resecting the redun-dant portion of the flap, the mucous membrane was sutured tothe jaw with catgut and the cutaneous incision closed with horse-hair. Just as the operation was completed the baby ceased tobreathe (ether had been employed) and artificial respiration was 945 946 PHILADELPHIA SURGICAL SOCIETY. needed for some minutes. Primary union was secured except ata point corresponding to the inner canthus, which healed by. Fig. I.—Lymphangeioma of cheek. granulation. The right face, of course, is sunken, the nose isstill displaced to the left, and the lower lid and upper lip areslightly out of alignment. SARCOMA OF PUBES. Dr. Francis T. Stewart described the case of a womanaged 38 years, a multipara, who had never had any serious illnessuntil the present time. The family history presents nothing rele-vant. About one year ago she fell against the corner of a table,striking the pubes. The blow was sharp enough to make a dis-tinct impression on her memory, but did not incapacitate her andthe soreness passed away in a short time. Four months ago painappeared rather suddenly in the region of the injury and hassince caused considerable discomfort, although it was neverdeemed serious enough to demand the services of a recently a swelling was noticed in the lower abdomen,and it was for such that the patient sought advice. There hadbeen but little loss in weight, and the ana
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
