FREE BOOKS

Author's List




PREV.   NEXT  
|<   273   274   275   276   277   278   279   280   281   282   283   284   285   286   287   288   289   290   291   292   293   294   295   296   297  
298   299   300   301   302   303   304   305   306   307   308   309   310   311   312   313   314   315   316   317   318   319   320   321   322   >>   >|  
its teeth makes only a narrow incision,[A] it should, while operating, be kept well oiled, and should be withdrawn every few seconds in order that the horn-dust lying in its teeth may be examined. If this is getting slightly blood-stained, we know, of course, that the sensitive structures are reached, and the incision has been carried far enough. In so judging the depth of the incision, however, care must be taken to see that the top of the coronary cushion is not injured with the saw, for if this is done the blood trickling into the depth of the incision will tinge the horn-dust, and give the false impression that the incision is sufficiently deep. [Footnote A: That is Smith's older pattern. The newer pattern (Fig. 145) has the teeth so set as to make an incision wide enough to be looked into. In this case the depth arrived at is to be judged by the appearance of the bottom of the incision.] If the operator has had no previous experience of the use of the saw in this operation, he must also be careful to avoid placing too great a pressure on the teeth of its lower third. This is done by keeping the hand too greatly depressed. Again, this leads to wounding of the sensitive structures (this time at the lower end of the incision), and again the operator is confused by the blood thus allowed to run into the groove. The only portion of horn difficult to operate on is that immediately under the coronet. This is best severed with a succession of downward movements, and is easier performed with Smith's later pattern of side-bone saw (Fig. 145) in which the set of the foremost teeth is reversed. [Illustration: FIG. 145.--SMITH'S SIDE-BONE SAW (IMPROVED PATTERN).] In making these grooves we must say that we think the use of the special saw may be dispensed with, and the incisions just as easily, or, at any rate, just as successfully, made with the knife. Those who select to use this instrument should choose a narrow-topped and sharp searcher, or a modern shaped drawing-knife of suitable size, such as those depicted in Fig. 46, _a_ and _b_, and they will find their work much easier if they will make the first steps in the incisions with an ordinary flat firing-iron. By the use of the latter instrument the grooves are made conveniently open along their tops, and room left for nicely finishing the more delicate manner of removing with the knife the softer horn near the sensitive structures. Those whose leaning is toward
PREV.   NEXT  
|<   273   274   275   276   277   278   279   280   281   282   283   284   285   286   287   288   289   290   291   292   293   294   295   296   297  
298   299   300   301   302   303   304   305   306   307   308   309   310   311   312   313   314   315   316   317   318   319   320   321   322   >>   >|  



Top keywords:

incision

 

sensitive

 

structures

 

pattern

 
instrument
 

grooves

 

incisions

 

easier

 
operator
 

narrow


leaning
 
making
 

special

 

easily

 

manner

 

removing

 

softer

 

dispensed

 

IMPROVED

 

performed


movements
 

severed

 

succession

 

downward

 

foremost

 

reversed

 
Illustration
 
PATTERN
 

finishing

 
firing

suitable

 

modern

 
shaped
 

drawing

 

ordinary

 
depicted
 
searcher
 

select

 

nicely

 

successfully


topped

 

choose

 

conveniently

 
delicate
 

coronary

 
carried
 

judging

 

cushion

 

impression

 
sufficiently