Transactions of the College of Physicians of Philadelphia . An examination revealed the fact that the parotidgland and the masseter muscle were involved, and the jawitself was supposed to be implicated. The removal of thegrowth having been determined upon, it was exposed by anincision extending from the zygoma downwards, in front ofthe ear, and along the border of the ramus and body of the jawto within an inch and a half of the symphysis. The flapsformed by this incision were freely dissected upwards uponthe cheek, and downwards upon the neck, and the tumorconsisting of the parotid gland and t

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Transactions of the College of Physicians of Philadelphia . An examination revealed the fact that the parotidgland and the masseter muscle were involved, and the jawitself was supposed to be implicated. The removal of thegrowth having been determined upon, it was exposed by anincision extending from the zygoma downwards, in front ofthe ear, and along the border of the ramus and body of the jawto within an inch and a half of the symphysis. The flapsformed by this incision were freely dissected upwards uponthe cheek, and downwards upon the neck, and the tumorconsisting of the parotid gland and t
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Image ID: 2AWHRN1
Transactions of the College of Physicians of Philadelphia . An examination revealed the fact that the parotidgland and the masseter muscle were involved, and the jawitself was supposed to be implicated. The removal of thegrowth having been determined upon, it was exposed by anincision extending from the zygoma downwards, in front ofthe ear, and along the border of the ramus and body of the jawto within an inch and a half of the symphysis. The flapsformed by this incision were freely dissected upwards uponthe cheek, and downwards upon the neck, and the tumorconsisting of the parotid gland and the entire masseter mus-cle was removed. The facial and external carotid arteries SAIUnMATA (>F JAW AND PAROTID (iLAXD. 173 were in turn ligated—the facial before, and the externalcarotid artery after division. The jaw was found to he freefrom disease. The wound was closed by iron-wire sutures,and a compress and bandage were applied. Considerablesuppuration ensued before the wound finally healed, whichoccurred four weeks after the operation. Pro. 4.. The removal of so large a portion of the facial nerve as wasnecessary in performing the operation, intensified the facialparalysis which already existed. The patient is now in verygood health. (Fig. 5.) There is no evidence of any return 174 MEARS, of the disease. The occlusion of the jaws was entirely re-lieved by the operation. Fig. 5.

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