On the claims of priority in the exsection and disarticulation of the lower jaw : with an appendix containing the report of several operations performed / by Geo. C. Blackman.

  • Blackman, George Curtis, 1819-1871.
Date:
1852
Catalogue details

Licence: Public Domain Mark

Credit: On the claims of priority in the exsection and disarticulation of the lower jaw : with an appendix containing the report of several operations performed / by Geo. C. Blackman. Source: Wellcome Collection.

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    CASE. III.-5— Carcinoma.-—Mr. Nolty, of Newburgh, about 4o years of age. Had submitted two or three times to the excision of a small portion of the lip and bone, affected with carcimona, before he came under my care. In every instance, shortly after the healing of the wound, the disease had returned. At the pa¬ tient’s urgent request, and against my own judgment, on the 30th August, 1S48, 1 removed the entire lower lip, together with a por¬ tion of the symphisis. A new lip was formed by cutting through the cheeks on each side from the commissure of the mouth. These incisions extended through the whole substance of the cheek, except the lining membrane, and extended about an inch and a half on each side. The portion of the cheeks divided, im¬ mediately retracted, leaving sufficient of the lining membrane to form the Vermillion border. This membrane was divided close to the level of the inferior margin of the upper part of the wound, and reflected over the borders of the upper part of the lower edge. Then the cheeks were detached from the bone towards the angles of the jaw, and drawn together in the median line. The patient was seen some months afterwards by one of the most eminent surgeons in N. Y., who pronounced it the best specimen of chei- loplasty that he had ever seen. Some time after this, the disease again appeared. He submitted to another still more extensive operation by another surgeon, and after lingering in a miserable condition for nearly a year, died. CASE IV.-—Epulis.-—-Miss C- -—, of Reade-street, N. Y.f aged 13, a patient of Dr. Schaffer, Warren-street, had for about one year been affected with this disease. The little girl having been brought under the influence of chloroform, on the 18th of Sept., 1848, I removed, by means of Liston’s curved bone-nip¬ pers, the diseased parts, extending from the first right incisor to the second molar tooth. The operation was performed without mu¬ tilating the external face. The hemorrhage was restrained with¬ out difficulty, and the patient speedily recovered. Dr. Schaffer informs me that he has heard of no return of the disease, from which he concludes the patient was perfectly cured. CASE V.—Epulis.—Miss I——, aged 17, of Modena, Ulster Co., N. Y. The disease involved the greater portion of the right side of the jaw, from the angle to the symphisis. Chloroform was administered, and with Liston’s nippers I removed (Nov. 15,