. Injuries and diseases of the jaws : the Jacksonian prize essay of the Royal College of Surgeons of England, 1867. ces 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-trix at the right angle of the mouth, and a dense band couldbe felt within the mouth on the same side. Fig. 182 showsliis condition on adm
. Injuries and diseases of the jaws : the Jacksonian prize essay of the Royal College of Surgeons of England, 1867. ces 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-trix at the right angle of the mouth, and a dense band couldbe felt within the mouth on the same side. Fig. 182 showsliis condition on admission. I made an incision two incheslong upon 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 Imlf 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 CLOSURE OF THE JAWS. 401 open his mouth, as seen in fig. 183; the distance betweenthe teeth beino seven-eighths of an inch, Fig. 182. Fig. 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 mouth had also given way during a recentattack of fever, and the patient presented the unsightly ap-pearance shown in fig. 18-i. The patient was twenty-tlu^eeyears old, and the sloughing and contraction occurred at theage of six. She was sent to me by Mr. BuUen, 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 attempts toremove the deformity of the cheek by plastic operations,but only succeeded in restoring the
Size: 2054px × 1216px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, bookdecade1880, bookpublisherphila, bookyear1884
