Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . ne before speech begins and before deformity of the jaws has been pro-duced. Ulcers and excoriations should be cured by methods already de- TREATMENT OF INJURIES AND DISEASES OF THE HEAD 291 scribed. Usually the disease involves chiefly the front part of the operation essential for cure consists in the removal of a V-shaped piecefrom the front of the tongue (Fig. 988). This is a simple operation. Itcan be done rapidly. The tongue is grasped posteriorly
Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . ne before speech begins and before deformity of the jaws has been pro-duced. Ulcers and excoriations should be cured by methods already de- TREATMENT OF INJURIES AND DISEASES OF THE HEAD 291 scribed. Usually the disease involves chiefly the front part of the operation essential for cure consists in the removal of a V-shaped piecefrom the front of the tongue (Fig. 988). This is a simple operation. Itcan be done rapidly. The tongue is grasped posteriorly on either side by thefingers of an assistant. A tenaculum seizes the middle of the section to beremoved, and draws it forward. After the wedge, with its base forward,is cut out, the main branches of the lingual artery are grasped and ligated,and the wound closed with silk sutures. Calculi of the Salivary Ducts.—Small stones sometimes lie so close to thedilated mouth of the duct that they may be removed with forceps or a this cannot be done the mouth of the duct may be enlarged by incisionand the calculus Pig. 988.—Microglossia Treated by V-shaped Resection of Tongue. Tumors of the —Ranula, due to obstruction in the ducts under thetongue, requires removal of the obstruction. If the obstruction is caused bya calculus, its removal may be expected to effect a cure. Usually the cysticdilatation of the duct remains, if it is caused by stricture or inflammation,unless the cyst is removed. Whether the ranula be caused by obstruction ofa mucous gland or a salivary duct, if it is of sufficiently long standing to havecaused a well-formed cyst, the cyst should be dissected out. This dissectionneed not be complete. Most of the cyst should be removed, and the partof the cyst which remains connected with the gland or duct should be suturedto the mucous membrane of the mouth (Figs. 989 and 990). A submaxillaryranula, bulging below the jaw in the neck, may be
Size: 1258px × 1986px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920
