American practice of surgery - a complete system of the science and art of surgery (1906) (14595729878)
Summary
Identifier: americanpractice03brya (find matches)
Title: American practice of surgery : a complete system of the science and art of surgery
Year: 1906 (1900s)
Authors: Bryant, Joseph D. (Joseph Decatur), 1845-1914 Buck, Albert H. (Albert Henry), 1842-1922
Subjects:
Publisher: New York : W. Wood and company
Contributing Library: University of California Libraries
Digitizing Sponsor: Internet Archive
Text Appearing Before Image:
Fig. 166.—Front View of the Skull Shown La Fig. 166. Note the exostoses in the right orbit and onthe right malar bone. (From I. S. Army Medical Museum. Washington, D. < formed a pit that is filled with small round cells and new granulation tissue.Such a depressed area may often be felt through the skin when the scalp is notinvaded and ulcerated. From this pit, as a starting point, canals in the diploe and i q the surface are hollowed out by absorption in a radiating manner. A SYPHILITIC DISEASE OF THE BOXES. 375 post-mortem examination of such a case, will show the inner and outer sur-faces of the skull traversed by tortuous and worm-eaten grooves. The in-frequency of the presence of pus in such a condition is explained by the factthat the granulation tissue possesses an abundant blood supply. Later, how-
Text Appearing After Image:
Fig. 167.—Cranium Showing Destruction of the Nasal, Ethmoid, and Palatal Bones by Syphilis.(From U. S. Army Medical Museum, Washington, D. C.) ever, when condensing ostitis sets in, the nutrition may be reduced to such anextent that the tissues break down and local necrosis and suppuration result.Around these grooves and pits in the skull the condensing ostitis forms a raisedring, in marked contrast to the excavated portions. 376 AMERICAN PRACTICE OF SURGERY. Syphilitic necrosis following gummatous inflammation presents peculiarities.According to Virchow the sequestrum is separated from within outward, sothat it presents a worm-eaten appearance on its inner surface, while the ex-ternal surface is comparatively smooth. The edges of the living bone at theline of separation are swollen and thickened by the condensing ostitis in a
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