File:A text-book of the diseases of the ear and adjacent organs (1894) (14778560421).jpg

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English:
Incision sites for intracranial surgeries

Identifier: adjacendis00poli (find matches)
Title: A text-book of the diseases of the ear and adjacent organs
Year: 1894 (1890s)
Authors: Politzer, Adam, 1835-1920 Dodd, Oscar Dalby, William B. (William Bartlett), Sir, 1840-1918
Subjects: Ear Diseases
Publisher: Philadelphia : Lea Brothers & Co.
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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after operated abscess of the brain reported. If from thesymptoms the existence of an otitic abscess is diagnosed, the surgicalopening of it must be immediately done, as this is the only way tosave the patient. 47G SURGICAL OPENING OF OTITIC ABSCESSES OF THE BRAIN. Operation.—As regards the method of operation, there is completeunanimity upon all the principal points. When an abscess of the temporallobe is diagnosed, the opening is made either by laving free the region of thetemporal lobe above the external opening of the ear, or after opening themastoid process, i the first method, according to the anatomical experi-ments of Chauvel. the skull should be opened between two lines placed infront and behind the auricle, and at right angles with a line from the angleof the eye to the top of the auricle. The place (vide Fig. 256, : is 2j to 3 cm.above the external opening of the ear.* At this point an opening 3 cm.across is made with the chisel and hammer (MacEwen uses a trephine i, and
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13 ^ w Pig. 256.—Lateral View of the Skull with the Places for IntracranialOperations indicated. Midit ex:. : pm, Proc. mastoid.; gs, gm, gi. The three gyri of the temporallobe : *», Coarse of the transverse sinus ; t, Place for trepanning the temporal lobeabove the tegmen tynip.: ?-, Position of abscesses above the tegmen antrumat.; a. Place for opening an abscess of the cerebellum, between the sinus trans-versus and sinus occipitalis ; St Place for opening the transverse sinus : a, Pla<:ef.r opening the mastoid antrum. the pulsatory movement of the brain observed. If pulsation is lacking it isprobable that an abscess lies near that region; but the presence of pulsationdoes not preclude the existence of a deeply-seated abs. . --. After finding the dura, an experimental puncture should be made to see ifan abscess is present. The trocar has been discarded by most operators.On the other hand, the Pravaz syringe has always proved successful in thecases reported. + The diagram given

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