La pratique de la chirurgie . endsure antérieure de la fissure sphenomaxillaire. Cela permet d'effacer les surfaces orbitales et externes de l'os malaire. Terminez la division de l'os malar, en utilisant la scie courte droite ou le Gigli passé par le spheno- 566 LE VISAGE ET LE COU maxillaire fissure et zygomatique fosse. Il reste à extraire la maxilla en desserrage à la neige. Pour ce faire, diviser la couverture mucoperiosteale du palais dur dans la ligne médiane, ainsi que la muqueuse du plancher du nez, en coupant aussi près que possible du septum.Puis faire une coupe transversale à travers le toit de la bouche à

• Contributeur: The Reading Room / Alamy Banque D'Images
• ID de l’image: 2AWEA0H
• Taille du fichier: 7,2 MB (293,4 KB Téléchargement compressé)
• Autorisations: Modèle - non | Propriété - non
• Dimensions: 1397 x 1789 px | 23,7 x 30,3 cm | 9,3 x 11,9 inches | 150dpi

Informations supplémentaires

Cette image appartient au domaine public, ce qui signifie que le droit d’auteur a expiré ou que le titulaire du droit d’auteur a renoncé à ses droits. Les frais facturés par Alamy couvrent l’accès à la copie haute résolution de l’image.

Cette image peut avoir des imperfections car il s’agit d’une image historique ou de reportage.

The practice of surgery . terior endof the sphenomaxillary fissure. This clears the orbital and externalsurfaces of the malar bone. Complete the division of the malar bone, using the straight short saw or the Gigli passed through the spheno- 566 THE FACE AND NECK maxillary fissure and zygomatic fossa. It remains to extract the nowloosened maxilla. To effect this, divide the mucoperiosteal coveringof the hard palate in the median line, as well as the mucoperiostealcovering of the floor of the nose, cutting as near the septum as possible.Then make a transverse cut across the roof of the mouth at the junctionof the hard and soft palates, and with a saw divide the horizontal plateand the palatal and alveolar portions of the upper jaw. Now graspwith a large bone forceps the seijarated jaw bone and break it away fromits few remaining attachments. It separates easily, and one may catchwith forceps successively the bleeding points which are thus broughtinto view. The upper jaw being removed, a vast gajnng cloaca is re-. Fig. 374.—Resection of half of the upper jaw. Dissection of the flaj) from the bone (Fowler). vealed, which I, as a young medical student, remember gazing upon withfascinated horror. The healing of these extensive wounds generally is prom])t and un-complicated. The patient suffers surprisingly little discomfort, exceptfrom the sense of loss of substance. At the primary dressing of thewound there is need for considerable packing of the raw cavity, butgranulations quickly spring up, and the packing must be removed andrenewed almost daily after the third day. By the end of two weeks afair degree of healing is established, so that no further dressings arenecessary beyond the frequent irrigation of the mouth and pharynx, which must be continued so long as discharges persist. It is not dif-ficult to feed these patients. They may be nourished through a nasal TUMORS OF THP] JAWS 567

Recherche dans la banque de photos par tags

• bookcentury1900
• bookdecade1910
• bookyear1910
• livresubjectsurgery