Oral surgery; a text-book on general surgery and medicine as applied to dentistry . cision Through Skin and Needle Passing Under MaxillaInto Mouth. Fig. 190.—Method of introducing pedicle needle, with eyein the end threaded so as to be withdrawn through the mouth, and for thepurpose of drawing the Gigh saw through back of the bone. Fig. 191.—Gigh saw in position, showing method of sawing through the bone, with themouth retracted so that the saw does no damage to the soft tissues. —Severed jaw advanced to the position where it is to be held to the up-per teeth with Angles bands and wire
Oral surgery; a text-book on general surgery and medicine as applied to dentistry . cision Through Skin and Needle Passing Under MaxillaInto Mouth. Fig. 190.—Method of introducing pedicle needle, with eyein the end threaded so as to be withdrawn through the mouth, and for thepurpose of drawing the Gigh saw through back of the bone. Fig. 191.—Gigh saw in position, showing method of sawing through the bone, with themouth retracted so that the saw does no damage to the soft tissues. —Severed jaw advanced to the position where it is to be held to the up-per teeth with Angles bands and wires. PERMANENT ANTKYLOSIS 385 the accident, it was possible to get a silver ten-cent piecebetween some of the teeth, but there was absolutely no mas-ticating power. The chin had so far receded that the gingi-val margin in the median line below was five-eighths of aninch back of the incisors above. This was the one point ofentrance for food, and he had lived on soft foods, especiallyprepared, during the twenty-three years. The operation consisted in making an incision immedi-. FiG. 193.—Case Before Operation. Front View. ately below the lobes of the ear as shown in figure 191, downto the parotid gland. Owing to the fact that the space nor-mally found betw^een the ramus and the mastoid was ob-literated by the displacement of the bone, the parotid glandwas found resting upon the external surface of the gland was carefully dissected away from the massetermuscle, and, along with the seventh nerve and Stensonsduct, which are included in it, were all pushed upward and 386 ANKYLOSIS held there by retraction. A long curved pedicle needle,bent almost at a right angle with the shaft, was pushedaround back of the ramus underneath the bone and forwardinto the oral cavity immediately back of the molar needle has an eye at the end. This was threaded andwith a hook the thread was pulled out into the mouth. AGigli saw was now drawn through back of the bone and 1 PI ^^^
Size: 1354px × 1846px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1912
