File:Interstate medical journal (1907) (14576879417).jpg

Identifier: interstatemedica1419unse (find matches)
Title: Interstate medical journal
Year: 1907 (1900s)
Authors:
Subjects: Medicine
Publisher: St. Louis, : Interstate Medical Journal
Contributing Library: The College of Physicians of Philadelphia Historical Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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th of the upper jaw had long beendestroyed by the constant attrition of the tumor. Within the mouththere could be seen large bluish masses of mucous membrane lying be-tween the molar teeth and filling about one-third of the cavity of themouth. This caused an impediment in the speech. Fear of biting thismass during mastication of food and causing free bleeding was a con-stant source of danger. It was a great discomfort to the parent becauseof the difficulty in eating. The patient carried the tumor in a slingpartly because it relieved the weight and partly because it hid from viewthe unsightly mass. This, gentlemen, was the condition of the patientsface. And now, what did we do for this unfortunate woman? The idea that occurred to me at first was to reduce the pendulous partof the tumor with a procedure that incurred the least amount of risk. Ithought this to be the ligation method, strangulation by introducing loopsof silk subcutaneously along the muco-cutaneous margin of the lip. With
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Fig. 2. Appearance of face on day of discharge Octobera14, 1906. 382 REDER. a very small cambric needle I ligated the lower third of the tumor.Small as the punctures were, the bleeding was most obstinate and con-tinued for sixteen hours. With the aid of ice and pressure it waschecked. The experiment demonstrated that it was not the procedureto be followed. The threads became infected and were removed on thefifth day. After nine days the infection had subsided. The conditionremained the same excepting that about one-half inch of the lip on theright of the median line had contracted. Furthermore hard nodulescould be felt throughout the portion that had been ligated. The condition, as it presented itself after two weeks, gave me con-siderable encouragement, and I concluded to resort to the treatment ofinjecting boiling water. The risks seemed to increase while I was de-bating with myself to use this method, and I spoke very frankly to thepatient of what might happen. This case seemed to

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