Lectures on the operations of surgery : and on diseases and accidents requiring operations . h, extending from each angle of the mouth,in an outward and nearly horizontal direction, and afterwards in-troducing the tents to prevent the lips of the wound from appeared at first to be productive of some good, but in a shorttime they cicatrized and contracted, and the patient remained in asuncomfortable a condition as before. Finding himself foiled in both attempts, he determined to visitPhiladelphia for the purpose of consultation. She was accordinglybrought on, and became a patient o
Lectures on the operations of surgery : and on diseases and accidents requiring operations . h, extending from each angle of the mouth,in an outward and nearly horizontal direction, and afterwards in-troducing the tents to prevent the lips of the wound from appeared at first to be productive of some good, but in a shorttime they cicatrized and contracted, and the patient remained in asuncomfortable a condition as before. Finding himself foiled in both attempts, he determined to visitPhiladelphia for the purpose of consultation. She was accordinglybrought on, and became a patient of mine. When I first saw hernearly a year had elapsed since the occurrence of the appearance at this time was very singular. Firm and densecicatrices nearly surrounded the mouth, but were most marked onthe lower lip, and about the angles; while the orifice of this cavitywas barely large enough to admit the point of the finger, and pre-sented an oval form. The cicatrices of the incisions made by herv father, were also very apparent at each angle. (See fig. 106.) Her Fig. 252 CONTRACTION OF THE MOUTH. general health was perfect, and it was only on account of the de-formity and difficulty of taking food that the operation was speech was not much affected, although some of the labialsounds were imperfectly pronounced. The lining membrane of themouth was perfectly normal. From the history of the case, I concluded at once that it wouldbe utterly useless to attempt a cure by the repetition of the measuresalready employed, and which are the ones usually had recourse therefore proposed the operation recently devised for such cases bythe celebrated Dieffenbach, and her father consenting, it was ac-cordingly performed on the 28th of November, 1836. The patient was seated in a low chair, with her head supportedby her father, and exposed to a good light. Following the direc-tions of Dieffenbach, I then introduced the extremity of the fore-finger of my l
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