The Science and Art of Surgery; Being a Treatise on Surgical Injuries, Diseases, and Operations Volume 2
This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1873 edition. Excerpt: ...next be put to bed, and every care taken to avoid any movement of the palate. Iie should be restricted to fluid but nourishing food for a few days, and should be directed to swallow this with as little effort as possible, and indeed should not be allowed anything solid until complete union has taken place. All coughing, spitting, or swallowing of the saliva should be interdicted. 4. The stitches should be left in for several days; and, indeed, need not be disturbed so long as they produce no irritation. They-usually require removal by the eighth or tenth day, but occasionally may be left with advantage for some time longer, until they excite irritation, or until union is perfect; they should then be cut across with scissors and drawn out, the upper one first, the middle next, and the lower one last. Should there be any aperture left in the palate, where union has not taken place, this may be closed by touching it with a point of nitrate of silver. The voice in these cases does not usually at once recover its natural tone after the operation, although In some cases it may. The nasal or "Punch-like" voice that is often left after operations, appears to arise from two causes. The first is the mere habit of faulty articulation, and this can be corrected by careful instruction in elocution. The second, which is much more difficult to deal with, arises from a mechanical condition, and is dependent on the contraction upwards of the palate along the line of the cicatrix, so that the velum becomes unable to shut off the posterior nares from the pharynx. Mason has proposed to remedy this condition by dividing the soft palate perpendicularly on each side, so as to leave a square and mobile central flap. In dividing the levator palati, Pollock...
- Paperback | 526 pages
- 189 x 246 x 27mm | 930g
- 29 Jun 2012
- Miami Fl, United States
- Illustrations, black and white