. Injuries and diseases of the jaws : the Jacksonian prize essay of the Royal College of Surgeons of England, 1867. e articulation had not been interfered with. The details ofthe case will be found in the Appendix (Case VI.), In the Mcdico-Chirurgieed Trems., vol. Ivii., is a case ofphosphorus-necrosis, reported by Mr. Savory, in which, sixmonths before the death of the patient, a lad of eighteen,the whole of the lower jaw was extracted, and is preservedin St. Bartholomews Museum (I. 232). Althougli at thistime there was not sufficient firmness in any part of theregion to indicate the formatio
. Injuries and diseases of the jaws : the Jacksonian prize essay of the Royal College of Surgeons of England, 1867. e articulation had not been interfered with. The details ofthe case will be found in the Appendix (Case VI.), In the Mcdico-Chirurgieed Trems., vol. Ivii., is a case ofphosphorus-necrosis, reported by Mr. Savory, in which, sixmonths before the death of the patient, a lad of eighteen,the whole of the lower jaw was extracted, and is preservedin St. Bartholomews Museum (I. 232). Althougli at thistime there was not sufficient firmness in any part of theregion to indicate the formation of new bone, yet in thecourse of a week or two afterwards there was distinct evi-dence of new bono on either side about the angle, whichgradually extended. The new lower jaw which had beenformed is shown in fig. 52, and is perhaps one of the mostperfect specimens of the kind ever seen. In size, sliape,and development it is very remarkable. The bone is solidand dense and in two pieces only. The greater portionconstitutes the wliole of the bone, with the exception of the REPAIR AFTER NECROSIS.^ ^^ I :. 52. 129. 130 REPAIR AFTER NECROSIS. right ramus. This was united to the body by fibrous tissue,and separated during maceration. In size and form, andespecially in the absence of alveolar portions, the jaw verynearly resembles the edentulous maxilla of a very old person,as shown in fig. In the St. Bartliolomcv)s Hospital Reports, voL i. (1865),a very remarkable case of restoration of the lower jaw isdescribed by Mr. Thomas Smith, to whom I was indebtedfor the original drawing of the preparations in the hospitalmuseum which accompanied this essay. The case w\as oneof necrosis of the entire lower jaw in a lucifer-match maker,but not presenting the peculiar pathological condition ofpumice-stone deposit upon the sequestrum, which is charac-teristic of the phosphorus disease and will be afterwards re-ferred to. Mr. Smith removed the sequestrum of the entirejaw in two pieces (St. B
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