The science and art of surgery : being a treatise on surgical injuries, diseases, and operations . means of the cutting-pliers (Fig. 587);. Excisioa of Lower Jaw. Soft parts raised. the Surgeon then dissects under and around it; in this situation a scal-pel, curved on the flat, will be found useful, the edge of th^ knife beingkept close to the bone and tumor. When he has cleared the tumor andramus, he depresses the body of the bone forcibly with his left hand, inorder more readily to divide the attachment of the temporal muscle tothe coronoid process. This having been done, the only part left


The science and art of surgery : being a treatise on surgical injuries, diseases, and operations . means of the cutting-pliers (Fig. 587);. Excisioa of Lower Jaw. Soft parts raised. the Surgeon then dissects under and around it; in this situation a scal-pel, curved on the flat, will be found useful, the edge of th^ knife beingkept close to the bone and tumor. When he has cleared the tumor andramus, he depresses the body of the bone forcibly with his left hand, inorder more readily to divide the attachment of the temporal muscle tothe coronoid process. This having been done, the only part left is thedisarticulation, which is best efliected by opening the joint from thefront, whilst the bone is well depressed and twisted somewhat outwards,the edge of the knife being kept close to its neck, scraping the bone so 476 DISEASES OF THE JAWS AND THEIR APPENDAGES. as, if possible, to avoid wounding the internal raaxillarv artery, when,any remaining attachments having been cut through, the disarticulationis effected (Fig. 588). In depressing the bone to reach the temporalmuscle and the joint, care must be taken not to use too much f


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Keywords: ., bookcent, bookdecade1870, booksubjectsurgicalproceduresoperative