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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
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Publisher: New York : W. Wood and company
Contributing Library: University of California Libraries
Digitizing Sponsor: Internet Archive

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densing ostitis. One of the peculiarities of syphiliticostitis is that, after loss of bone as a result of this infection, but little attemptat filling the defect is made. Thisis particularly noticeable after loss of bonysubstance about the skull and face, and is often seen after perforations of thepalate bone or destruction of the nasal bones (Figs. 361 and 162). Syphilitic ostitis is not usually followed by necrosis and the separation ofsequestra, although this sometimes happens. Caries is a more common formof destruction. This may be due to the abundant blood supply in syphilitictissues which was mentioned in describing the early stages of a gumma. Later SYPHILITIC DISEASE OF THE BOXES. 367 on, when the arteries become partly closed by the typical endarteritis, and thecondensing form of ostitis obliterates many of the Haversian canals and socuts off nutrition, bone may die in larger amounts and sequestra separate.This occurs more frequently in the bones of the face and in the skull.
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Fig. 161.— Cranium showing the Lesions of Syphilis chiefly in the Crown and External Table. Thebones show various degrees of absorption and destruction, amounting to complete absence in someplaces where larger fenestra are seen. Evidences of hypertrophy and new growths are also visibl*The patient, who is said to have been the funny old lady who was an upper domestic mentionedbv Dickens in his Notes of American Travel, chapter xiv., died of syphilis, when over sixty yearsof age, in the almshouse at Xorwalk, Ohio, in 1868 or 1869, under the care of Dr. A. N. Read. (1 romthe Hamilton Collection, U. S. Army Medical Museum.) Osteomyelitis of syphilitic origin is never productive of the same intensepain and general constitutional symptoms that the acute form of osteomyelitis 368 AMERICAN PRACTICE OF SURGERY. causes, though it indicates a more serious affection than either the periostitisor the ostitis referred to above. It begins near the diaphyses, and producesa gnawing, constant pain, w

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