Surgical therapeutics and operative technique . mplicated with the presence of median villous papillomata; some-times on the frsenum; sometimes at the base of the organ. Diagnosis ismade with the aid of sight and, above all, by that of touch. The specialinduration of a cancroid growth leaves no doubt in the mind of an experi-enced clinician. If there is any hesitation, histological examination of afragment of 4 or 5 millimetres in diameter should be carried out, afterremoval under local anaesthesia produced by interstitial injection of cocaine. Epitheliomata of the tip, anterior part of dorsum
Surgical therapeutics and operative technique . mplicated with the presence of median villous papillomata; some-times on the frsenum; sometimes at the base of the organ. Diagnosis ismade with the aid of sight and, above all, by that of touch. The specialinduration of a cancroid growth leaves no doubt in the mind of an experi-enced clinician. If there is any hesitation, histological examination of afragment of 4 or 5 millimetres in diameter should be carried out, afterremoval under local anaesthesia produced by interstitial injection of cocaine. Epitheliomata of the tip, anterior part of dorsum, and lateral marginof the tongue can be attacked through the buccal route. Tumours of thebase of the tongue must be reached through the submaxillary. OPERATIONS ON THE HEAD 113 Epithelioma of Dorsum, Tip, and Marginsof the Tongue. Epithelioma of the dorsal region, the tip, or the lateral margin of thetongue is readily diagnosed. It should be operated on at an early surgeons still have recourse to the bloody procedure in these Fig. 216.—Papilloma of Dorsum of of incision. Anaesthesia is carried out with ethyl chloride, followed by chloroform;the bicommissural retractor is then applied. In cases in which extensiveretraction of the dental arches is necessary the molar gag is applied fromthe side of the fixed valve of the bicommissural retractor, or the valveis replaced by this gag, between the rings of which we fix the chain ofthe commissural valve, which is placed on the sams side as the papilloma.
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Keywords: ., bookcentury1900, bookdec, booksubjectsurgicalproceduresoperative
