A manual of operative surgery / By Lewis A. Stimson ... and John Rogers.

  • Lewis Atterbury Stimson
Date:
1900
Catalogue details

Licence: Public Domain Mark

Credit: A manual of operative surgery / By Lewis A. Stimson ... and John Rogers. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

    176/628 (page 172)
    down to the lower free border of the nasal bone; from here to the junction of the ala and cheek and a short dis- tance outward on the cheek. The second incision passes from the origin of the first at the root of the nose along the edge of the orbit to the infra-orbital foramen. It must clear the. lachrymal sac. This tongue-shaped flap is raised with the periosteum and exposes a triangular sur- face of bone. After retracting the soft parts a chisel is driven through the superior maxilla so as to divide it vertically just inside the infra-orbital foramen between the margin of the orbit and the upper surface of the hard palate. The chisel should be obliquely directed and enter the nasal cavity near the vertical plate of the palate bone. Fig. 65. Ollier's operation for removal ofa aaso-pharyn&eal polyp, /•'. Mi very large polyp. ilicatioi] for a The nasal process of the superior maxilla and the nasal bone are cut very nearly in the line of the upper cutaneous incision. The lachrymal sac must be spared. The bony division is carried down to the lower free border of the nasal bone. Finally the chisel is driven into the nasal cavity through the anterior and inner walls of the antrum on a line reaching from the lower termination of the first bony incision to the floor of (he nose. The inferior and middle turbinated bones are removed with the mass thus marked out, which is more or less pyramidal in shape with the apex toward the posterior oares.