Operative surgery . , pres-sure, or cautery, and the cavity ispacked with antiseptic gauze. Theexternal incisions are closed with sutures and readily unite in three or four days. These cases make a satis-factory recovery from the operation, although some deformity will remain. The stitches are removed from the soft parts on the third or fourth day;union, as a rule, then being complete. T%e After-treatment.—The degree of success of these operations will de-pend on the cleanliness of the part and the nourishment and vigor of thepatient. The wound is packed lightly with gauze, frequently cleaned
Operative surgery . , pres-sure, or cautery, and the cavity ispacked with antiseptic gauze. Theexternal incisions are closed with sutures and readily unite in three or four days. These cases make a satis-factory recovery from the operation, although some deformity will remain. The stitches are removed from the soft parts on the third or fourth day;union, as a rule, then being complete. T%e After-treatment.—The degree of success of these operations will de-pend on the cleanliness of the part and the nourishment and vigor of thepatient. The wound is packed lightly with gauze, frequently cleaned withantiseptic fluid, and the patients head so placed as to prevent dischargescollecting in the wound or entering the mouth and throat. The patient should be nourished freely with milk, eggs, etc., from theoutset. If the taking of food by the mouth be inexpedient, rectal alimenta-tion and the employment of the stomach tube are enjoined. If food betaken in the usual manner, rinsing of the mouth and repacking of the. Fig. 383.—Lines of incision in simultaneousremoval of the superior maxilla, a, incision, h, e. Median transverseincision. OPERATIONS ON BONES. 373 wound should follow promptly to prevent decomposition. The strength ofthe patient ouglit not to be depleted by long or close confinement in prompt getting up is an important factor of success. Fresh air is needed,not only for the usual reasons, but also for the sj)ecial purpose of purificationof the upper respiratory passages. The Results.—The results of these operations are good so far as immedi-ate loss of life is concerned, as death rarely happens from the operationalone. If the removal be done for malignant growths the prognosis for ulti-mate recovery is unfavorable. In substantially complete removal primaryhemorrhage caused death in four per cent; erysipelas, septicaemia, andother complications in about twenty-five per cent of two hundred and thirtycases, as analyzed by the author. The influence
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