Transactions of the Philadelphia Academy of Surgery Volume 11

Transactions of the Philadelphia Academy of Surgery Volume 11

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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1909 edition. Excerpt: ...of the right forearm and both lower extremities; but the left arm was not moving at all. The right pupil was widely dilated, and pressing upon the supra-orbital nerve elicited facial palsy on the left side, very marked. Dr. Ashhurst had thought that it was a case of extradural hemorrhage. The patient grew worse and died, and at autopsy a fracture of the skull involving the base and a subdural hemorrhage were found, as in Dr. Davis's case. The dilated pupil was on the side of the lesion, the right side, as also in Dr. Davis's case. REMOVAL OF THE LINGUAL AND MANDIBULAR NERVES BY THE TWISTING METHOD OF THIERSCH. DR. GWILYM G. DAv1s reported the case of a woman, aged 47, who applied for the relief of a neuralgia affecting the tongue and lower jaw. The pains had begun five years previously, they were intermittent and affected chiefly the left side of the tongue and cheek down to the angle of the jaw. The paroxysms became frequent and severe, coming on most often in the moming when arising from bed. Sometimes, though rarely, she would have attacks at night. The pupils reacted normally and the tongue when protruded would deviate slightly to the right and was tremulous. She was otherwise well. The following operation was performed: An incision was made beginning about a centimetre below the ear and carried down behind the ramus and angle of the jaw and forward along the under side of its edge to just forward of the anterior edge of the masseter muscle. With a periosteal elevator the soft parts were detached from the bone and turned upward. The jaw was cleared off upward until the coronoid notch (incisura mandibulae) was reached. A half inch trephine was then placed midway between the notch above and the lower edge of the jaw more

Product details

  • Paperback | 86 pages
  • 189 x 246 x 5mm | 168g
  • United States
  • English
  • black & white illustrations
  • 1236937465
  • 9781236937469