The Surgical treatment of facial neuralgiaWood, 1905 - 151 pages |
Common terms and phrases
anesthesia Annals of Surgery antrum attacks bone carotid artery cause cavernous sinus cheek Chipault Chir Chirurgie cited complete removal cornea corneal ulcer cure cutting forceps disease divided dura mater excising Gasserian ganglion excision of Gasserian extirpation of Gasserian facial neuralgia fifth nerve flap foramen ovale foramen rotundum foramen spinosum foramina forceps Gasserian ganglion hæmorrhage Hartley-Krause Horsley incision inferior dental nerve inferior maxillary division inflammation infra-orbital nerve iodides Krause's ligature lower jaw method middle meningeal artery minor neuralgia months morphia Nerveuse neuralgia due neurectomy neuritis opera ophthalmic division orbit pain peripheral branches peripheral operations plugging Professor Krause pterygoid recorded recurrence relief removal of Gasserian retractor sarcoma sensation septic serian ganglion Sir Victor skin skull sphenoid Spiller superior maxillary nerve surgeons surgical symptoms syphilis tabes temporal fossa temporal route third division tion treatment trephine trigeminal neuralgia true epileptiform neuralgia wall zygoma
Popular passages
Page 74 - If the neuralgia be limited to the infra-orbital branches, resection of the nerve by following back the canal in the orbital floor may be tried. If the neuralgia concern also the palatine branches, intracranial resection of the superior maxillary trunk should be carried out. If the inferior dental nerve be alone affected, it should be resected through a trephine aperture in the outer table of the lower jaw. When the neuralgia concerns several branches of the inferior maxillary division (eg the inferior...
Page 107 - That the perception of taste is unaffected on the posterior portion of the tongue, and never permanently or completely lost on its anterior two-thirds after removal of the Gasserian ganglion.
Page 17 - ... It commences in the distribution of either the second or third division of the fifth nerve, and tends to involve both to the same extent. (3) The first (ophthalmic) division, so frequently concerned in cases of minor neuralgia, is involved comparatively little in epileptiform neuralgia. Radiations of pain in the ophthalmic distribution and that of the cervical nerves often, however, occur. (4) The attacks of pain are paroxysmal or spasmodic and tend to steadily increase in severity, whilst the...
Page 63 - ... easily be widened by inserting a suitable, blunt instrument and by wedging or widening the walls. It is remembered that the upper wall of this fissure is the strong wing of the sphenoid bone, and that the lower angle is the thin wall of the antrum. If either bone should break in these manipulations it would be the wall of the antrum which would be crushed down and out of the way and would cause no trouble. Having the nerve thus free to the foramen rotundum, next slip the ends of the silk ligature...
Page 18 - During each attack there is usually a spasm of the facial muscles on the affected side. 6. No cause can, as a rule, be assigned for the onset of the disease, but talking, eating, or exposure of the skin to slight cold or light pressure, invariably bring on the attacks when the disease is well established. 7. The subjects of the disease, at its onset, are usually adults between the ages of thirty and fifty years.
Page 63 - ... Then cut the nerve, leaving the ligature fastened to the proximal end of the cut nerve. We now have the nerve under perfect control. By making a slight traction on the ligature we can bring the nerve into view, and by following it on can readily crush down the thin wall of the canal, removing the bone fragments with suitable forceps. When the nerve enters the spheno-maxillary fissure it passes out of the bony canal and is only surrounded by soft structures, which can easily be hooked or wiped...
Page 43 - epileptiform," and of which he said that " it resists with a disheartening obstinacy all therapeutic measures, so much so indeed that even now, after more than thirty-six years of practice, I have never known it to be cured in a single case radically.
Page 12 - Flying, so-called, neuralgic pains in the head, when they attack both sides and do not map out the district of one or other division of the fifth nerve, should lead to attentive examination for symptoms of tabes
Page 107 - ... portion of the tongue for some days after the operation. 3. That this temporary loss of function may possibly be occasioned by some interference with chorda transmission brought about by a mechanical or toxic disturbance due to degeneration of the N.
Page 33 - Smith's notice, and to which most of the lithograph plates refer. We extract entire the first of these cases. " John M'Cann, 35 years of age, was admitted into the Richmond Hospital, under the care of Dr. Hutton, in 1840, having a large tumour on the right side of the neck, of a globular form, and equal to a moderate-sized cocoa-nut in magnitude; it extended from the mastoid process to within a short distanee of the sternoclavicular articulation.