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pp.139-142
Published Date 1949/4/20
DOI https://doi.org/10.11477/mf.1492200160

In an emergency operation, on a patient, a woman with a weak heart and at the time preg-nant, for an extensive cranial sinns thrombosis by Grunert's method, the author caused an acci-dental section of facial nerve. In another case, a man 50 yrs of age was also operation by same method. But soon afher the operation this patient developed hemorrhage from the te-mporal region which was continuous and unde-rneinable in origin, and the care of which req-uired 6 months of continnual attention. In view of the difficulties encountered in thesecases, when Grunert's method of operation was employed, the author devised a procedure which simplified the original method. Removal of the thrombus is made without exposing the superior jugular bulb, but from two approaches, namely, sgnmid siuns and internal jngular vein, with the use of author's specially constructed forcpes for the pur-pose, three cases brought to cure by this method are presented with full discussion as to the simp-lification of the method. Procedural difficulties met in Grunert's method are fully analysed.


Copyright © 1949, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 印刷版ISSN 0386-9679 医学書院

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