Injuries and diseases of the jaws . nci«^ion across the cheek from the angle of the OPERATIONS ON THE UPPER JAW. 273 moutli to the malar boue (fig. 122), or when the tumourwas very large, employed in addition an incision throughthe lip into the nostril with a vertical cut at the malarbone (fig. 123). With the saw and bone-forceps themaxilla was separated from its attachments and removed. Lizars example was followed by most of the leadingsurgeons of the day, but Mr. Liston requires especial notice,since he performed some of the earliest and most importantoperations of the kinds, and in his essa
Injuries and diseases of the jaws . nci«^ion across the cheek from the angle of the OPERATIONS ON THE UPPER JAW. 273 moutli to the malar boue (fig. 122), or when the tumourwas very large, employed in addition an incision throughthe lip into the nostril with a vertical cut at the malarbone (fig. 123). With the saw and bone-forceps themaxilla was separated from its attachments and removed. Lizars example was followed by most of the leadingsurgeons of the day, but Mr. Liston requires especial notice,since he performed some of the earliest and most importantoperations of the kinds, and in his essay, which has beenfrequently referred to {Medico-Chirurgical Transactions,vol. XX.), brought the subject and its relations to variousforms of disease prominently under the notice of the pro-fession. Mr. Liston seems to have been strongly impressedwith the notion that malignant disease of the jaw shovildnot be interfered with, but this idea does not prevail amongoperating surgeons of the present day, for it is felt that it Fig. is better to act upon the principle which guides operationsupon cancerous growths in other parts of the body—to T 274 OPERATIONS ON THE UPPER JAW. remove the growths^ if feasible, in the hope of giving atleast relief if not a permanent cure. Syme, Mott, Velpeau, Dieifenbach, OShaughnessy, Hey-felder, Fergusson, and Butcher may be mentioned as havingperformed the operation of excision of the superior maxillarepeatedly and successfully, and to Sir William Fergussonespecially is due the proposal of modifications of the greatestmoment in the method of procedure. Noticing the con-siderable deformity resulting from an incision fxom theangle of the mouth, which necessarily divides the facialnerve, (fig. 124), and still more when a flap of skin hasbeen reflected from the face by a double incision (fig. 47),Sir William Fergusson devised the plan of carrying the Fig. 125.
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Keywords: ., bookcentury1800, bookdecade1870, bookpublisherlondo, bookyear1872
