The Wheeling daily intelligencer. [volume] (Wheeling, W. Va.) 1865-1903, 1875-10-20

i
the new lip from healing and cicatrizing
down upon itself; the entire absence Of
mucous membrane making such result
more than probable. It is the same diff.
Guilty, on a very much larger scale, that
renders operations in cases Of Symble-
pharon, a. general thing, so uRsatistac.
tory. At this point Of the operation, the
mucous membrane, saved and dissected
from the flaps removed at each angle OF
the mouth, was successfully utilized.
The bleeding having ceased and the chin
substance being raised to its proper posi-
ton as lip, these thin Gaps OF mucous
membrane were carefully turned around
and secured to 1t with fine Sutures OF silk,
forming in their joint extent very re.
spectacle amount OF inner lining. Ellip.
tical inCisions had been carried into the
mucous membrane OF each cheek, in or
der to allow Of these flaps being easily and
properly turned into position,
The parts were now brought loosely to-
gether, and the patient placed in bed. In
the morning he was quite comfortable;
the loose dressings were undone, and the
raw and cut surfaces, from which all
bleeding had ceased, were exposed, The
teeth remaining in the back and uninjur-
cd portion ot the lower jaw bone, three on
one side and two on the other, stood
elevated fully one and half inches above
the line Of cut surface that covered what
was remaining OF the front and injured
portion Of the same bone. A large den
tai impression cup, especially contrived
for the purpose, was filled with prepared
plaster Of Paris, and an accurate impres.
sion Of tho parts were obtained. From
this impression DR.. A. II. Fleming, dent.
ist, by the evening Of the same day, sue
ceeded in making in rubber very good
substitute for the portion OF jaw bone that
had been shot away and which was sur
mounted by tho proper number Of artif.
cial teeth, After the insertion Of this
plate the parts were brought securely
together, the angle OF the right
side Of the mouth being alone
left open TO permit Of any future ma
nipulation that might be necesSa.
ry. Sister Blanche, one OF the attend.
ants at the Hospital, had made under my
direction, a tight fitting skull cap, and u
stirrup fitting accurately under the chin,
furnished with a number Of strong straps
and buckles. After cropping the hair
closely, these were applied, and by their
means, with scarcely any other dressing,
the parts were kept properly in position.
Healing took place rapidly. The patient
Notwithstanding the presence Of heavy
plate Of rubber, which from shrlnkage Of
the parts it was found necessary to alter
at different times, made but little COM
plant. In about three months time, the
right angle Of the mouth which had all
along been kept open, was allowed to
close, and the operation was finished.
Mr.. s. made complete recovery Of the
power Of articulation and Of retaining
saliva.
Possessed Of heavy beard, his appear.
ance is now such that no one, without ac-
tual examination, could detect that he
had been the subject Of such severe sur.
gical operation.
The next session Of the West Virginia
Medical Society is to bO held at Wheeling
on the last Wednesday Of May, 1876.
On the % OF June following the AmCri-
can Medical Association meets in Phila-
dclphia, The delegates from this State
are Drs. IIupp and ITa1lett, Of Wheeling,
Harvey, Of Huntington, Campbell, Of
Grafton, Hall, Of Hurrisville, Mcsherry,
Of Murtinsburg, Brock, Of Morgantown,
Knight, Of Mason county, Lazaell, Of
Fairmont, Blond, of Weston, Charter, Of
West Union, and Bruce, OF Moundsville.
The alternates are Drs. Carr, Of Charles
ton, Marshmun, OF Marshall county, Jep.
son, Of Wheeling, Reynolds, Of shcp'
herdstown, Rouse, Of Now Haven, straith,
Of Charleston, Harris, Of Purkcrburg,
Lee, Of ClarkSburg, MoiEitt, of Academy,
Van Kirk, Of Newburg, Newlen, Of Buck.
hannon, and Manown, pf KingwOod.