A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . he trigeminal nerve. (Kocher.) the distribution of one or more of the divisions of the nerve. It is adisease of middle or advanced life and has been called epileptiform neu- INJURIES OF NERVES. 229 Fig. 91. ralgia. The violent twinges of agonizing pain may occur with greatrapidity and be induced by attempts to speak, chew or swallow. The disease is apparently dueto nerve changes and en-darteritis of the nervesand gang
A manual of modern surgery : an exposition of the accepted doctrines and approved operative procedures of the present time, for the use of students and practitioners . he trigeminal nerve. (Kocher.) the distribution of one or more of the divisions of the nerve. It is adisease of middle or advanced life and has been called epileptiform neu- INJURIES OF NERVES. 229 Fig. 91. ralgia. The violent twinges of agonizing pain may occur with greatrapidity and be induced by attempts to speak, chew or swallow. The disease is apparently dueto nerve changes and en-darteritis of the nervesand patient usuallycomes to the surgeonafter repeated failures toobtain a permanent curewith medicine. Any oneor all three of the divis-ions are to be subjectedto neurectomy extendingback to the exit from thecranium. The relief soobtained usually lasts forsome months or the neuralgia returnsit is proper to excise theGasserian supraorbital nerve is reached by an incision along the supra-orbital arch, after which the nerve should be cut off as far back in theorbit as possible. If the nerve comes through a distinct foramen, this Fig. Side view of lower jaw, showing position of trephine openingin the operation for deepening the sigmoid notch. The dottedlines above the trephine opening indicate the extent of thebridge of bone which needs removal. The inferior dental canaland its anterior and posterior openings are indicated.
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