Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . they should be excision may involve not only the internal jugular vein, but the carotidand vagus nerve as well. Operations on the Tonsil and Pharynx Through the Neck.—Tumors ofthe tonsil, pharynx and the adjacent regions may be reached by operation 368 5 URGICA L TREA TMEN T laterally through the neck, called lateral pharyngotomy. An incision ismade along the upper half of the anterior border of the sternomastoid second incision is carried fo
Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . they should be excision may involve not only the internal jugular vein, but the carotidand vagus nerve as well. Operations on the Tonsil and Pharynx Through the Neck.—Tumors ofthe tonsil, pharynx and the adjacent regions may be reached by operation 368 5 URGICA L TREA TMEN T laterally through the neck, called lateral pharyngotomy. An incision ismade along the upper half of the anterior border of the sternomastoid second incision is carried forward from the upper end of the first below thelower jaw for about 8 cm. The deep fascia is divided and the muscleretracted backward. By drawing aside the great vessels and nerves thewall of the pharynx is exposed. With retractors in place the pharynxis opened and the disease attacked. If this does not give room enoughthe jaw may be sawed through between the second and third molarteeth. This is the most satisfactory approach to tonsillar neoplasms. Afterthe operation the wound may be partly or completely closed. The safest. Fig. 1067.—Dissection of Lymphatics of Neck. Dissection from above downward. The mass of glands and connective tissue is placed on a pad of gauze as the dissection proceeds. method is to suture the mucous membrane, partly close the external wound,and insert a drain down as far as the mucous membrane. Tuberculous Lymph Glands of the Neck.—The general treatment oftuberculous adenitis of the neck should be the same as that for tuberculosisin other regions (see Tuberculosis, Vol. I, page 276). Most cases shouldbe cured by general treatment. The first step in treatment is to improve the hygiene of the patient. Itmay be assumed that a healthy person does not develop tubercular glandsof the neck. Diseases of the tonsils, teeth, and adenoids should be cor-rected. The patient should live out of doors and in the sunshine. The valueof tuberculin and the x-ray is
Size: 1333px × 1874px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920
