A report on the operations for fissures of the palatine vault / by Thomas D. Mütter.

  • Thomas Dent Mutter
Date:
1843
Catalogue details

Licence: Public Domain Mark

Credit: A report on the operations for fissures of the palatine vault / by Thomas D. Mütter. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    handles, wine and water, cold water, towels, and two or three assistants. Other aids are occasionally employed, some of which will be referred to directly. The subsequent treatment was such as is usually recom- mended in similar cases. For example, the patient was or- dered not to speak, cough, sneeze, &c, and to take no nour- ishment except a little whey or barley water, a few drops at a time. On the fourth morning, it was found that one of the ligatures had given way, and that there was some disposition to slough. This was arrested by touching the part with solu- tions of argent, nit. grs. ij.; aq. font. §j.; of chloridi calcis, 3j.; aq. font, giv.; and of kreosote, gtt. vi.; aq. font. fj. The other ligatures were taken away on the 5th, 6th, and 7th days, and in three weeks time the cure was complete, with the exception of a small opening at the upper part of the wound, caused by the separation of Fig. 7. the ligature, but this opening, from the use of argent, nit., and the efforts of nature, is now not larger than the head of a pin. Remarks.—The operation of sta- phyloraphy, velosynthesis, kyono- raphy, uraniskoraphy, (for all these terms have been applied to the operation in question,) has been so frequently performed in Europe and this country, (with varying success, it is true,) that the report of another success- ful case will be received by the profession as a matter of not much interest. When we recollect, however, that the opera- tion is considered by all as one of the most delicate in sur- gery, rarely succeeding perfectly, and occasionally causing the death of the patient, every thing calculated to simplify its details or ensure success should be considered of importance and arrest the attention of the operative surgeon. Nothing proves more conclusively the delicacy and difficulty of the operation than the immense variety of instruments invented for its performance. Ever since the period when the dentist