A manual of the injuries and surgical diseases of the face, mouth, and jaws.

  • Marshall, John Sayre, 1846-1922.
Date:
1902
Catalogue details

Licence: Public Domain Mark

Credit: A manual of the injuries and surgical diseases of the face, mouth, and jaws. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    would be in the treatment of malignant neoplasms, for the disease is almost sure to recur unless every particle of infected tissue is removed. The use of caustics is generally of no real value, often positively harmful. Since the nature of the disease has been recognized, antiseptic agents have been recommended for local treatment. White uses the bichlorid of mercury, one to two grains to an ounce of water, applied for half an hour morning and evening on compresses kept wet with this solution, or an ointment made from the same drug, two grains to the ounce, applied continuously, and changed morning and evening. Care must be taken that salivation is not produced by absorption of the drug. He also obtained satisfactory results by the application of a 2 to 4 per cent, solution of salicylic acid in castor oil. Iodoform in the form of the powder, ointment, or emulsion in glycerol is recom- mended as one of the very best antiseptics in all forms of tubercular disease. Balsam of Peru is also of benefit as a local application. Dr. Thomas S. K. Morton, of Philadelphia, recommends ace- tanilid as an antiseptic dressing in all surgical wounds, tuberculous ulcerations, and bone-disease, either in substance or as gauze, or oint- ment (i in 8), or dissolved in alcohol or oil (as an injection). A 10 per cent, solution in water seems to answer every purpose in preventing suppuration in all surgical cases, while it seems to act better than iodo- form in the treatment of tuberculous lesions. Care must be exercised in the use of the drug in substance to prevent toxic symptoms. Antiseptic agents, however, can never become efficient means of treatment in this aflfection, for the reason that they cannot be brought into direct contact—except at the surface and for a little distance be- neath—with the bacilli and those parts in an active state of disease. In those cases in which a radical operation is declined by the patient or friends, the above treatment is the next best means at the disposal of the surgeon. Treatment by repeated exposure of the affected tissue to the in- fluence of the Roentgen-ray has been advocated during the last three years by certain German and Austrian physicians as a cure for this disease. Most of the work in this line has been done by Schiff and Freund, of Vienna, and by Kummell, of Hamburg. A few cases have been reported by various surgeons of Europe, and three in the United States, one by Jones, of San Francisco, one by Knox, of Cincinnati, and one by Pusey, of Chicago. The technique of the treatment ad- vocated by Schiff and Freund is that of repeated exposures to a weak light of definite strength. The light is produced by a secondary cur- rent generated in an induction coil of 30 cm. spark-length, which in turn is energized by a weak primary current of 12 volts and i^ amperes,