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 patient was seated opposite to a window; her head being supported
against the breast of an assistant, who, at the same time, pressed upon
the labial arteries. The inferior lip was divided perpendicularly, and
detached laterally from the inferior jaw, so as to expose the whole
extent of the carcinoma. Some strokes of the saw were made on the
anterior and most prominent part of the bone, and into the groove thus
formed, the blade of a very strong knife was inserted, by means of
which, aided by some slight strokes with a mallet, all the diseased
portion was removed. The soft parts had been previously detached from
the internal surface of the jaw. The last left molar tooth, not being
diseased, was alone left. The haemorrhage from the dental artery was
arrested by the actual cautery.
The dental arch of the upper jaw, was then completely removed in the
same manner. The bleeding was here more profuse, but was arrested by a
hot iron. The alveolar processes thus removed, were enlarged, and of a
lardaceous colour, and the fungous growths had the appearance and
consistence of indurated albumen.
In 25 days, the patient was discharged well. Her general health was
good; the foetor had quite gone; the cicatrix over the bone was
regular, white, hard, and could be pressed upon without causing pain.
The patient can triturate her food with facility; the lips are slightly
drawn inwards, without any sensible inconvenience; and the voice is a
little altered, but this even is daily improving.--_Le Propagateur des
Sci. Med._ for Jan. 1826.
55. _Traumatic Erysipelas._--In the Feb. No. of the Revue Medicale, is a
clinical report of the celebrated Baron LARREY, surgeon in chief of the
Hospital de la Garde Royale; in which he criticises severely the use of
leeches in erysipelas, and recommends in that variety of the disease,
arising from wounds, &c. the application of the actual cautery, as
effectual in arresting immediately the progress of the disease. It
causes, he says, but little pain; destroys the burning and tense pain of
the disease, as also the redness and swelling of the part; is not
followed by suppuration, and does not cause gangrene in the contiguous
parts. The eschar separates, without leaving a cicatrix. Various other
advantages are enumerated, all of which are confirmed by a list of
cases, as treated at the hospital. We have no room for details, which
would, if known universally, hardly render us Americans, whether
surgeons or patients, as fond of the cautery, as our trans-atlantic
brethren of the French school.
Public-domain text, read in full here on John Shaqi.
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