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 |   Related post: and the posterior margin of the hyoglossus with the styloglossus passing over it. Retract the stylo- glossus downwards (the hypoglossal nerve is below the operative field), draw the posterior belly of the digastric with the great vessels backwards; if the stylopharyngeus comes into view it is also drawn backwards with the glossopharyngeal nerve. The superior and middle constrictors are now exposed in the iloor of the wound. Carry the dissection up- wards beneath Cataflam Tablets the jaw, following along the internal pterygoid as far as possible. 7. Dry the wound thoroughly and then pack it with gauze nnpregnated with vaseline. (If tracheotomy was not done at the beginning of the operation it should now be per- formed and the pharynx plugged.) 8. Drill the jaw in two places near its lower border just in front of the masseter. Saw through the jaw obliquely. 9. Draw the ascending ramus outwards, cutting the internal lateral ligament if necessary. Define the lingula with the finger, and pass a hook around the inferior dental nerve, draw it from its canal and cut off. If the inferior dental artery is seen it should be secured. 10. Pass a finger into the mouth and place its tip against the anterior margin of the growth. Open the pharynx with scissors in front of the finger. Continue the incision upwards and downwards until its ends are beyond the limits of the growth. Change the glove of the infected hand. Seize the divided edges with forceps and cut backwards from the ends of the incision until the growth can be delivered from the wound ; draw it outwards Cataflam Diclofenac and divide its posterior Cataflam 50mg attachment. This- step might be performed wit hthe galvanocautery,, the surface Cataflam Novartis of the tonsil being cauterised as it was. 47-' Pirii 01- CURRENT UTEk.liUKI-- INlw Vork Medical Journal. drawn out. ii. Suture tlit pharynx with two layers of stout catgut. The edges should be turned in to- wards the throat. The first layer should be inter- rupted, commencing at the bottom, the ends of the stitches being left long in order to draw down the upper and more inaccessible parts of the wound. However wide the opening may be an attempt should be made to draw together the edges. This will most likely be possible in the lower part of the wound where the pharyngeal walls are more freely movable. 12. T.ake out the petrolatum gauze pack- ing and remove the clamp from the carotid. Tie any vessels that may bleed. 13. If any of the mus- cles of deglutition have been divided in the course of the operation they may now be' sutured. Re- place the ramus of the jaw and wire it in position. 14. Close the wound, leaving the upper part open for a large drainage tube which must pass down to the pharyngeal suture line and should be packed round with gauze. A smaller tube should be placed in the lower angle of the incision. LA PRESSE MEDICALE. Jttly iS, J90H. 1. The Lipoids, By Hexri Iscovesco. 2. Trial of a New Therapeutical Method, By Rene de G.'Vuliac. 3. Have the Misdeeds of Syphilis Been Exaggerated? By R. Rom ME. I. Lipoids. — Iscovesco follows Overton in designating by this name substances which may be extracted from the fluids or the pcranchyma of tis- sue by the solvents of fatty matters, such as ether, chloroform, and benzol. These bodies Cataflam 25mg present marked analogies with fat and Buy Cataflam form with water col- loidal pseudosolutions. They are quite numerous, and the writer proposes to divide them into four groups, the neutral fats, the fatt\ acids, the soaps, Novartis Cataflam and the lipoids proper. The latter he subdivides into two classes, those which contain phosphorus and those which do not. He then discusses then- preparation, their distribution in the organism, and their physicochemical properties. July 22, njoS. 1. Locomotor Ataxia and Surgery, By Professor Debove. 2. Urban Hygiene m China, By J. J. Matignon. I. Locomotor Ataxia and Surgery. — Debove concludes that locomotor ataxia presents a condition which foi;bids the intervention of the surgeon. LA SEMAINE MEDICALE, July 22, irjoS. The Part Played by the Lipoid? in the Phenomena of Hemolysis, By L. .^mbard. The Part Played by the Lipoids in the Phe- nomena of Haemolysis. — Ambard presents a crit- ical review of the literature on this subject and concludes that the study of this Cataflam D question is not suffi- ciently advanced to permit the formatinn nf aiu general conclusions. July 2(), KioS. Suburethral Abscess in Woman, By F. Lkjaks. Suburethral Abscess in Woman. — Lejars re- ports a case of abscess beneath the urethra at the mouth of the vagina ntet with in a woman thirlv- seven years of age. He then discusses the analnmy of the jieriurethral region Cataflam 50 Mg and various tumors nu-i with there. 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