North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826Various
History
North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826
Various
Medicine -- Periodicals
The operation was performed chiefly by the fingers and the handle of the
knife, after dividing the integuments by a crucial incision. The
branches of the portio dura were of course divided, and great
embarrassment arose from a copious haemorrhage, caused by the bursting of
the tumour, while Mr. K. was rooting it out from between the pterygoid
muscles. The bleeding was restrained by the finger of an assistant, and
the complete extirpation of the diseased gland was effected. Mr. KIRBY
says, "the space between the pterygoid muscles was void--the auditory
tube was fully exposed--the articular capsule of the jaw was brought
into view--the finger could trace the length of the styloid process, and
on sponging the wound of its blood, it could be seen by those who
surrounded the chair." The haemorrhage was restrained by a sponge firmly
lodged at the bottom of the wound, covered by compresses of lint, and
the whole secured by a double-headed roller.
The patient was much exhausted, slept tolerably well the next night,
complaining of thirst and inability to swallow. On the 2nd day,
inflammation, swelling, and fever followed--erysipelas appeared on the
neck--patient lethargic--pulse small and frequent. Fourth day,
suppuration--symptoms improving--no relapse. The patient completely
recovered, without any regeneration of the tumour.
In FERUSSAC'S Bulletin Universel for Jan. 1826, we observe the following
notice, from a German Medical Magazine, conducted by M. D. Schmidt.
A female, aged 33 years, had suffered for 9 years from a diseased
parotid gland, which had gradually attained a large size. It was
extirpated by Dr. PRIEGER, and the patient soon returned home in good
health, and little disfigured. The tumour measured 8 inches in
circumference, and weighed three and a half pounds. (Livres.)
Dr. PRIEGER had previously extirpated a scirrhous parotid successfully.
M. WIENHOLD affirms, that he has extirpated three parotids; the details
of these operations are published. M. SCHMIDT, however, suggests some
doubts, as to the _nature_ and _seat_ of the tumours removed.
Public-domain text, read in full here on John Shaqi.
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