Injuries and diseases of the jaws . f Portsmouth, in 1862, with complete closure ofthe jaws, the result of the contraction of cicatrices withinthe mouth following extensive necrosis. The cicatrices hadbeen divided, and his mouth screwed open in 1856, butwithout permanent benefit, and he obtained his food byrubbing it between his teeth, or by putting it through anaperture between the teeth on the right side. The mouthwas firmly closed, the teeth overlapping ; there was a cica- 344 CLOSURE OF THE JAWS. trix at the right angle of the mouthy and a dense band couldbe felt within the mouth on the sa
Injuries and diseases of the jaws . f Portsmouth, in 1862, with complete closure ofthe jaws, the result of the contraction of cicatrices withinthe mouth following extensive necrosis. The cicatrices hadbeen divided, and his mouth screwed open in 1856, butwithout permanent benefit, and he obtained his food byrubbing it between his teeth, or by putting it through anaperture between the teeth on the right side. The mouthwas firmly closed, the teeth overlapping ; there was a cica- 344 CLOSURE OF THE JAWS. trix at the right angle of the mouthy and a dense band couldbe felt within the mouth on the same side. Fig. 155 showshis condition on admission. I made an incision two incheslong along the lower border of the jaw, in front of the rightmasseter, and removed a wedge of bone measuring rathermore than a quarter of an inch along the upper, and half aninch along the lower border. The piece contained themental foramen. The mouth could now be freely opened,and the boy was discharged at the end of a month able to Fig. 155. Fig. open his mouth, as seen in fig. 156; the distance between theteeth bemg i of an inch. The complete case will be foundin the Appendix (Case XXXII.). The second case in which I operated in the same mannerwas complicated by the presence of a dense cicatrix, occupy-ing nearly the whole of the cheek of the affected side. Theangle of the month had also given way during a recentattack of fever, and the patient presented the unsightly ap-pearance shown in fig. 157. The patient was twentv-threeyears old, and the sloughing and contraction occurred at the CLOSURE OF THE JAWS. 345 age of six. She was sent to me by Mr. Bullen, of theLambeth Infirmary, in January, 1864<. I made an incisionalong the border of the jaw, and, as in the former case, re-moved a wedge of bone measuring seven-eighths of an inchalong its lower border. This also contained the mentalforamen. The patients mouth could now be opened to theextent of half an inch. I made two subsequent attemp
Size: 2015px × 1240px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1870, bookpublisherlondo, bookyear1872
