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.

    652/750 (page 624)
    Sutton prefers the knife to electrolysis, nitric acid, ethylate of sodium, or the ligature. Growing nevi, if left to themselves, may soon pass the limits of justifiable surgery. It is therefore of the utmost importance that operation be undertaken early. Butlin favors the galvano-cautery for the removal of all such growths located in the tongue, on account of the hemorrhage which is so likely to attend an operation with the knife or scissors. There is less hemorrhage attending the use of the galvano-cautery heated to a dull red than when a white heat is used. No definite line of procedure can be laid down for the treatment of cavernous angio- mata or cirsoid aneurisms. The surgeon must be governed by the conditions surrounding the case, and the size and location of the growth. Fayrer successfully treated a case of cirsoid aneurism of the tongue by injections of a strong solution of tannic acid. The writer succeeded in his case of cavernous angioma, which was located in the antrum, by breaking it up with curettes and packing with gauze, while in the cirsoid aneurism located in the hard palate and involving the antrum success attended the injection of a ten per cent, solution of the tincture perchlorid of iron. The dangers which attend the treatment of such growths by the injection of coagulating remedies are those of embolism, from the floating away of small clots in the blood-current, which may become lodged in the vessels of remoter regions. Ulceration and suppuration have been frequent sequelae of the injection treatment, and instances are on record in which they produced instant death. The writer is of the opinion that if the injection method is used the remedy employed should be of such a character and strength as to produce instantaneous coagulation of the whole mass of blood con- tained in the growth, which would reduce the dangers from embolism to the minimum. In those cases requiring the removal of any considerable amount of skin, preventing coaptation of the wound, the surface should be covered by a Wolfe graft or by Thiersch grafts.