Case of osteo-sarcoma of the lower jaw, in Robert Penman, (aged 24 years,) from Coldstream, who laboured under this most extensive and very painful affection, for upwards of nine years / drawn up and published by J.R. Sibbald.

  • Sibbald, John Robertson.
Date:
1828
Catalogue details

Licence: Public Domain Mark

Credit: Case of osteo-sarcoma of the lower jaw, in Robert Penman, (aged 24 years,) from Coldstream, who laboured under this most extensive and very painful affection, for upwards of nine years / drawn up and published by J.R. Sibbald. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    ployed a tube of larger diameter, and without the drainer, as lie said he now could swallow broth and porridge with ease ; through the assistance of several benevolent individuals, I was enabled to supply him with every necessary, and he daily had his allowance of porter, wine, beef-tea, &c. He felt great relief from occasionally pouring quantities of cold water into his mouth, and allowing it to trickle over the tongue and wounds. About the 6th day after the operation, the swelling of the throat and fauces began to abate, but the flow of saliva from the mouth continued profuse, and escaped by the lips, which had a very cedematous appearance, from the support of the bone being removed; this was obviated to a certain extent by the firm application of a roller round the face, the wounds united by the first intention throughout greatest extent, ex- cept at the superior angle of the left flap, the pin ulcerated through, and left a considerable aperture through the cheek into the mouth, which in about three weeks gradually filled up by granulation. He went on this way, having his wounds daily dressed with adhesive strap, and his bowels kept open by aperient medicine : about a fortnight after, there was an abscess formed on the neck on the left side, which was open- ed freely by a bistoury, and discharged nearly a cupful of healthy pus. About this time, he got on his clothes, and walked about the house. On the 2d of August he walked down to my house in Hope Street, without assistance, where Mr Syme and Dr Ballingall found him on their calling to accompany me to Pen- man’s house, being little more than three weeks since his ope- ration. I opened a small abscess, which bad formed on the right side of the jaw, opposite to the extremity of the remain- ing portion of the maxilla, and caused him to use freely an astringent gargle of bark and alum, to lessen the flow of sa- liva, and to keep his head as erect as possible, as from the great weight of the diseased mass, and purulent discharge, be had for many years kept his head leaning forward on his breast, to allow saliva (and matter) to escape from his mouth, which it was desirable to divert now into its proper receptacle,
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