Surgical therapeutics and operative technique . the sac andhsemostasis of all bleeding vessels. Third Stage.—Antiseptic tamponing and secondary suture. OPERATIONS ON THE NECK 169 Gaseous Tumours. The gaseous tumours of the neck—aeroceles, laryngoceles, tracheocelesbronchoceles—are formed by effusions of air into cavities, either natural oradventitious. They are clealrly distinguishable from diffuse gaseous infil-tration or emphysema. When such gaseous tumours resist compression, orif they increase in volume, they should be treated by operation. Operation—First Stage.—^Exposure of the tumour an
Surgical therapeutics and operative technique . the sac andhsemostasis of all bleeding vessels. Third Stage.—Antiseptic tamponing and secondary suture. OPERATIONS ON THE NECK 169 Gaseous Tumours. The gaseous tumours of the neck—aeroceles, laryngoceles, tracheocelesbronchoceles—are formed by effusions of air into cavities, either natural oradventitious. They are clealrly distinguishable from diffuse gaseous infil-tration or emphysema. When such gaseous tumours resist compression, orif they increase in volume, they should be treated by operation. Operation—First Stage.—^Exposure of the tumour and incision of thegaseous sac. Second Stage.—Dissection of the sac when there is a veritable cyst,and, if possible, suture of the orifice of communication with the respiratorytree. ^ Third Stage.—Suture, immediate or secondary, after antiseptic tam-poning. Torticollis. Simple Torticollis. Retraction of the sterno-mastoid muscle, whether congenital or acquired,always coexists with partial degeneration of its fibres. Sterno-mastoid. -Congenital Torticollis: Subcutaneous Tenotomy of Sternal HeadOF Left Sterno-Mastoid. torticollis may be complicated by contraction of the platysma. When thedeviation of the head resists the application of adjusting apparatus andcourses of appropriate exercise, we must have recourse to operation. 170 SURGICAL THERAPEUTICS AND OPERATIVE TECHNIQUE Operation.—The patient is anaesthetized, and the head is firmly heldinclined in the opposite direction, so as to bring the contracted tendon of thesternal head into prominence.
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