Injuries and diseases of the jaws . May, 1827, lie removcfl the entire superior maxillary hone,with a part of the palate, from a boy of seventeen, on ac-count of a large fibro-cartilaginovis tumour. The incisionemployed by Gensoul (fig. 121) was a vertical one from thecorner of the eye to the lip, joined midway at right anglesby a transverse incision, which was again met by a smallvertical incision ascending to the malar bone. By the em-ployment of the mallet and chisel the jaw, with the tumour,was dislodged and removed by the division of the the carotid was not tied the haemor
Injuries and diseases of the jaws . May, 1827, lie removcfl the entire superior maxillary hone,with a part of the palate, from a boy of seventeen, on ac-count of a large fibro-cartilaginovis tumour. The incisionemployed by Gensoul (fig. 121) was a vertical one from thecorner of the eye to the lip, joined midway at right anglesby a transverse incision, which was again met by a smallvertical incision ascending to the malar bone. By the em-ployment of the mallet and chisel the jaw, with the tumour,was dislodged and removed by the division of the the carotid was not tied the haemorrhage was notvery great, and the patient recovered.—[Lettre Chirurgiculesur quelques Maladies Graves du Sinus MaxilJaire, par ). Mr. Syme operated successfully in May, 1829 [EdinburghMedical and Surgical Journal, 1829), and Mr. Lizars alsooperated again in 1829 for a medullary tumour, which wascompletely removed with the exception of a small portionattached to the pterygoid processes. The patient had Fig. 122. Fig. become quite convalescent, when she died suddenly on thenineteenth day {London Medical Gazette, vol. v. p. 92).His third and successful operation was in 1830 [Lancet,1829 30), and fi-om that time removal of the upper jawbecame an established operation in surgery. Mr. Lizarsused an inci«^ion across the cheek from the angle of the OPERATIONS ON THE UPPER JAW. 273 moutli to the malar boue (fig. 122), or when the tumourwas very large, employed in addition an incision throughthe lip into the nostril with a vertical cut at the malarbone (fig. 123). With the saw and bone-forceps themaxilla was separated from its attachments and removed. Lizars example was followed by most of the leadingsurgeons of the day, but Mr. Liston requires especial notice,since he performed some of the earliest and most importantoperations of the kinds, and in his essay, which has beenfrequently referred to {Medico-Chirurgical Transactions,vol. XX.), brought the subject and its rela
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