Operative surgery . fore described. A ligatureis then passed through the tongue, given to an assistant, and the remaininghalf of the bone excised in a similar manner. Arrest all hemorrhage, andclose the wounds with sutures in such a way as to accurately coapt thedivided buccal borders. The Operation of Excision of a Portion of the Alveolar Process.—Whenthe extent of the disease will permit, the alveolar process can be removed downto the body of the jaw through either an external or internal incision, theformer being the better, by rongeur, chisel and mallet, or saw (Fig. 385, fi).The diseased
Operative surgery . fore described. A ligatureis then passed through the tongue, given to an assistant, and the remaininghalf of the bone excised in a similar manner. Arrest all hemorrhage, andclose the wounds with sutures in such a way as to accurately coapt thedivided buccal borders. The Operation of Excision of a Portion of the Alveolar Process.—Whenthe extent of the disease will permit, the alveolar process can be removed downto the body of the jaw through either an external or internal incision, theformer being the better, by rongeur, chisel and mallet, or saw (Fig. 385, fi).The diseased part is then removed and the wound closed as before. The Comments.—In all situations, when the nature of the disease willpermit, the periosteum should be reflected by a careful yet vigorous use ofthe elevator. The insertions of ligaments and tendons will offer the onlyobstacle, and these should be carefully detached by a sharp knife or rugineso that a continuity of the periosteal and fibrous tissues will OPERATIONS ON BONES. 377 The periosteum in young subjects may reproduce enough bony material to give a fair outline to the face and serve an important function in masti-cation. If bone be not reproduced, the periosteum will furnish a firm, fibrous base,which may be utilized for artificial appliances. If the anterior portion ofeither or both sides be removed, the gap may be filled in by an artificial den-tal appliance, which will often happily maintain the symmetry of the faceand become useful in mastication. When prudent to do so, as much as possible of the body of the lower jawshould be preserved, since it will form an excellent foundation for a compen-satory dental appliance. Whenever the disease is malignant the periosteumshould be removed with the bone and care be taken that none of the dis-eased membrane remains in the wound. It is also necessary in such casesto remove all associated structures when diseased, such as glands, floor of themouth, and even a part
Size: 1325px × 1885px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookauthorbryantjosephdjosephde, bookcentury1900, bookdecade1900
