Southern Medical and Surgical Journal - Georgia Regents University

slightfiveswelling;136 ExsectionofSecond Branch ofFifth Pair of Nerves. [February,I explained to her the nature of the operation which I believeto be the only one suited to her case. She immediately assentedto submit to it as early as possible.The operation was performed after the same procedure. Theface Was in this instance,- also,* very deep. The hemorrhage fromthe spheno-maxillary fossa was considerable, and was stoppedby a piece of compressed sponge to which a strong ligature wasattached, by which it could be removed.Progress of Union and After-treatment.— Nov. 5. (Thursdayevening.) As soon as the operation was completed,, the patientretired to her bed. Yomiting came on a few hours after, owing,,probably, to the quantity of chloroform which had been used.6th, Had slept tolerably Well during the night ; felt very littlepain pulse 80 ; no fever ; complained of some pain in the;Wound, but had no neuralgic pain.7th. Left side of the face slightly swollen;puffiness about theeyelids ; has no pain ; has slept well without any anodynestates that she feels better than she has for months; pulse 80;-skin natural ;• thirst ;• of the suture pins removedline of incision looks as though union by first intention wasgoing on favorably. Still kept on fluids for nurishment —gruel,-rice-water,- ice-water, toast-water, and chicken tea. Ordered agentle aperient.8th. Had slept well} tumefaction of face subsiding; complainsof headache ; cloth wetted with cold water applied onforehead ; same diet continued ;pulse natural ; removed thesponge which was used to stop the bleeding from the sphenomaxillaryfossa ; this came away without any difficulty by slighttraction,- a little blood following.- Complains of slight pain inthe orbit. Eemoved six suture pins, leaving one only—thatUniting the free border of the lip.-9th. Patient slept well ; headache less ;• pulseFluid diet as before.-78 ;no neural^gic pain ; a Weak solution of the tincture of arnica ordered, tobathe the cheek with ;removed the last pin ;union by first intention,along the line of incision, complete.-From the 9th Until the 16th all has progressed favorably. No;•neuralgic pain whatever ;sleeps well on cheek diminishing;pain has entirely left the orbit ; secretion into the mouthfrom the wound in the antrum diminished. Ordered a gargleof the tinture of myrrh. Appetite has also returned. Hadbeen sitting up, and walking about her room without any inconvenience.Has taken a little sulphate of magnesia ; has not requiredany anodyne.Bee. 3. The patient has been progressing favorably up to thistime. The wound has healed entirely, the line of cicatrix isbecoming effaced ; not the slightest trace of tic douloureux remaining.There is no paralysis of the muscles of the face uponthe side operated on.