Southern marksman. [volume] (Clinton, Miss.) 1838-1839, 1839-02-27
GREAT SURGICAL OPERATION.
Prom the baltimore American

liz
The following account of the most for.
midable operation of Amputation of the
to'cer Jdc bone at its joint" SUCCESSFULLY
performed in this city by professor Baxley,
of the University of Maryland, has been
handed to US by medical gentleman who
was present on tho occasion and upon
whose accuracy of description we can con-
hdently rely. While we reioced to learn
that the occasions for such an operation
are rare, We are also gratiied to find that
we possess the skill adequate TO tho under.
-in4 =: 3 WEI the duty is required. a
Mrs. o. of this city, had tor the last ten
months labored under disease Of the face.
which had resisted the curative means OF
several physicians whose professional aid had
been sought, and which rapidly increased
until 1t threatened TO distroy life in few
weeks. The right side other face was &C.
cupied by tumor extending from the pro
Ininence of the cheek bone downward be-
low the edge of the lower Jaw, and from
the right angle of the mouth to the ear,
embracing the right half of the lower Jaw
from the chin to its posterior margin and
UP to the socket where this bone united to
the bone of the temple; extending back.
ward into the mouth as far as the balate
and tonsils, upward involving the roof of
the mouth, and downward by the side of
the tongue which was pushed to the oppo.
site side, SO that the part of the mouth not
occupied by the tumor was so filled ND by
the tongne as to render chewing impracti
cable, and the swallowing even of fluid
he, g. e al
that on professor Baxley' visiting the case,
he Immediately pronounced it to be tu-
NOR probably proceeding from the bone
constituting that form of disease called os-
teosarcoma, and that he could advise no
means OF giving her prospect of cure
short OF tying the great artery Of the neck
and then removing the tumor itself. The
patient however could not summon the
fortitude at the time to consent to SO re-
pulsive an operation, and her friends hav-
ing learned that certain tumors ofthe face
had been relieved by tying the artery OF
the neck alone, and being informed that
such was preliminary step 10 the opera
ton proposed by DR.. Baxley, expressed ?.
desire to have that done, IN me 6onss that |
the circulation being cut off, the tumor |
might disappear. This was accordingly
done by DR.. B. on the 18th January. at
the same time the patient was assured that
It afforded scarcely chance for cure. and
that the removal of the turnor was The onlv /
Just ground of hope. The facility and ad,
roitness with which this operation was
performed encouraged the patient on the !
next day to think that she might bear the
additional one recommended. and on The
18th this was undertaken by DR.. Baxlev
IN the presence ofhis colleagues. Profess
sors Howard and Dorsey, DR.. G. M. Rob-
-crts and others. and Mr.. ] Rose n n, whose ,bo
instance DIR. B. had been requested d see
the patient. NSS'o1 y sec
before commencing this second opera.
ton 1t was found that the circulation had
been completely re established in The tn
NOR from the vessels of the opposite side
OF the head, and that The arteries on the
affected side were pulsated with a force no
less than those of the other side, conclu-
sively establishing the correctness Of the
opinion that there was scarcely chance
afcure from merely tying the carotid art
sEy. This free circulation made il neces.
Ivy during the opeyation to tie eight YES. .
'd-, and cauterize teseral more.