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    none: Fig. 2. Le bord de la serviette inférieure est fixé à la lèvre inférieure de l'incision ovalaire d'une amputation du sein / Fig. 3. Une seconde serviette vient d'être fixée à la lèvre supérieure de l'incision...
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    none: Fig. 14. La peau exubérante a été réséquée, puis la partie exubérante de la membrane interne / Fig. 15 et 16. Suture profonde de la collerette invaginée en cordon de bourse. Suture superficielle en surjet.
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    none: Fig. 17. Incisions combinées... pour l'allongement vertical des téguments du crâne.
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    none: Fig. 19. Papillome cutané. Ablation entre deux incisions curvilignes symétriques / Fig. 20. Papillome cutané. Ablation entre deux incisions curvilignes asymétriques.
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    none: Fig. 21. Extirpation d'une petite tumeur cutanée péricrânienne. Suture intra-dermique au fil d'argent.
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    none: Fig. 22. Loupe du cuir chevelu. Anesthésie locale par injection interstitielle de stovaïne à 2 p. 100 / Fig. 23. Schéma de six injections successives de stovaïne nécessaires pour insensibiliser le champ opératoire.
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    none: Fig. 24. Extirpation d'une loupe du cuir chevelu. Incision de la peau et dissection de la lèvre supérieure de l'incision / Fig. 25 / Figure schématique montrant la coupe de deux artérioles au voisinage du crâne.
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    none: Fig. 26. Enucléation du kyste sébacé par divulsion, avec les ciseaux mousses,... Fig. 28. Extirpation d'une grosse loupe occipitale avec résection de la peau exubérante et amincie. Dissection du lambeau cutané externe...
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    none: Fig. 29. Extirpation d'une grosse loupe occipitale avec résection de la peau exubérante et amincie. Enucléation du kyste sébacé avec les ciseaux mousses.
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    none: Fig. 30. Loupe fistuleuse de la nuque. Anesthésie locale par injection interstitielle de stovaïne à 2 p. 100 / Fig. 31. Loupe fistuleuse de la nuque. La peau exubérante est circonscrite par deux incisions curvilignes.
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height: 3297
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    none: Fig. 32. Loupe fistuleuse de la nuque. Extirpation du kyste sébacé dont le contenu s'est évacué par l'orifice de la fistule / Fig. 33. Extirpation d'un kyste dermoïde de la queue du sourcil. Incision cutanée.
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height: 3134
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height: 3082
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    none: Fig. 34. Extirpation d'un lipome sous-cutané du front. Section des dernières attaches de la tumeur.
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    none: Fig. 35. Anévrysme cirsoïde. Schéma des néoformations artérielles, montrant les points où on doit lier les 5 artères afférentes.
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    none: Fig. 36. Névrome plexiforme s'étendant de la région temporale à la région orbitaire externe et pénétrant dans l'épaisseur des paupières.
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height: 2996
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    none: 0029 - Page 21
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    none: Fig. 37. Extirpation d'un cancroïde de la peau fronto-temporale. Tracé du lambeau autoplastique / Fig. 38. Le lambeau s'est adapté à la perte de substance et la comble sans tiraillement...
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  none: 0030 - Page 22
width: 1900
height: 3133
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    none: 0030 - Page 22
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    none: Fig. 41. Sarcome péricrânien de la voûte. Coupe schématique.
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label:
  none: 0031 - Page 23 - Crâne et encéphale. Technique opératoire générale des opérations sur le crâne.
width: 1904
height: 3092
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    none: 0031 - Page 23 - Crâne et encéphale. Technique opératoire générale des opérations sur le crâne.
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    none: Fig. 42 / Figure démontrant la possibilité de découvrir tout un lobe cérébral par la craniectomie temporaire.
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label:
  none: 0032 - Page 24 - Ouverture du crâne ou craniectomie.
width: 1890
height: 3178
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    none: 0032 - Page 24 - Ouverture du crâne ou craniectomie.
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label:
  none: 0033 - Page 25 - Instruments à préparer pour la craniectomie.
width: 1933
height: 3140
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    none: 0033 - Page 25 - Instruments à préparer pour la craniectomie.
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    none: Fig. 43.
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label:
  none: 0034 - Page 26 - Craniectomie temporaire.
width: 1885
height: 3146
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    none: 0034 - Page 26 - Craniectomie temporaire.
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height: 3021
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    none: 0035 - Page 27
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    none: Fig. 44. Tracé des volets de craniectomie frontale, fronto-pariéto-temporale et fronto-pariéto-sphéno-temporale / Fig. 45. Schéma des deux grands volets latéraux qui peuvent être mobilisés à quelques mois d'intervalle chez les enfants arriérés.
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height: 3133
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    none: 0036 - Page 28
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    none: Fig. 46. Tracé d'un grand volet de crâniectomie frontale / Fig. 47. Tracé de deux volets occipitaux destinés : le droit, à l'abord du lobe occipital, le gauche, à mettre à découvert le sinus latéral et la loge cérébelleuse.
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    none: Fig. 48. Attaque de la table externe du crâne avec le trépan à cliquet et la mèche plate... Fig. 49. Perforation du crâne avec la fraise cylindro-sphérique... Fig. 51. Schéma de la craniectomie à volet avec l'instrumentation ordinaire.
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    none: Fig. 52. Mensuration de l'épaisseur du crâne avec le mensurateur gradué.
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    none: Fig. 53. Section de la table externe avec la scie à curseur gradué / Fig. 54. Résection de toute l'épaisseur du crâne avec la pince emporte-pièce, qui suit le sillon tracé par la scie à curseur.
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    none: Fig. 55. Eclatement de la table interne dans la direction du sillon creusé par la scie dans la table externe / Fig. 56. Schéma d'un grand volet à craniectomie remis en place / Fig. 57. Schéma d'un petit volet... taillé avec le ciseau et le maillet.
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    none: Fig. 58. Schéma du même volet osseux basculant en a dans l'intérieur de la cavité crânienne / Fig. 59. Schéma d'un volet analogue pénétrant par toute sa circonférence dans l'intérieur du crâne.
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    none: Fig. 60. Support muni de deux moteurs électriques.
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    none: Fig. 61. Inclinaison de la fraise au moment où elle attaque la table externe par son équateur / Fig. 62. La fraise pivote sur le bord de l'orifice et perfore la table interne, en refoulant la dure-mère.
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    none: Fig. 63. Perforation du crâne avec la fraise sphérique de 12 millimètres / Fig. 64. La fraise peut ensuite être placée verticalement ou presque verticalement.
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    none: Fig. 65. Schéma de la craniectomie à volets avec l'instrumentation électrique / Fig. 66. Sonde cannelée à grande courbure et à bec pour décoller la dure-mère de la voûte crânienne / Fig. 67. Décollateur de la dure-mère.
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    none: Fig. 68. La dure-mère est détachée de la table interne avec le décollateur de Doyen / Fig. 69. Scie de 45 millimètres à dents alternes et porte-scie à curseur intracrânien, pour écarter et protéger la dure-mère.
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    none: Fig. 70. Section du crâne dans toute son épaisseur avec la scie à guide intracrânien / Fig. 71. Section de la table externe du crâne avec la scie de 35 millimètres, munie d'un disque qui en limite la pénétration.
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    none: Fig. 72. Section de la table externe du crâne avec la scie à molette.
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  none: 0051 - Page 43 - Technique de la craniectomie typique. Soins préliminaires.
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    none: 0051 - Page 43 - Technique de la craniectomie typique. Soins préliminaires.
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    none: Fig. 73. Compresseur pour le sinus longitudinal.
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    none: Fig. 74. Craniectomie fronto-temporo-pariétale. Section des parties molles.
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    none: Fig. 75. Craniectomie avec l'instrumentation à main. Section de la table externe avec la scie à curseur.
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    none: Fig. 76. Craniectomie avec l'instrumentation à main. Section du crâne dans le sillon de la scie avec la pince emporte-pièce.
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    none: Fig. 77. Craniectomie avec l'instrumentation électrique. Perforation du crâne avec la fraise sphérique de 12 millimètres.
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    none: Fig. 78. Craniectomie avec l'instrumentation électrique. Section du crâne avec la scie à dents alternes et le guide intracrânien.
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    none: Fig. 79. Craniectomie avec l'instrumentation électrique. Section des ponts osseux périphériques avec la scie à molette.
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    none: Fig. 80. Craniectomie avec l'instrumentation électrique. Eclatement des ponts de la table interne par l'action du ciseau à doigt protecteur et du maillet.
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    none: Fig. 81. Incisions multiples de la dure-mère entre les rameaux principaux de l'artère méningée moyenne.
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    none: Fig. 82. Exploration et section de la dure-mère. La membrane est incisée avec la pince à griffes et les ciseaux mousses.
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    none: Fig. 83. Incisions curvilignes de la dure-mère, ménageant les principales ramifications de l'artère méningée / Fig. 84. Incision de la dure-mère. Introduction de la sonde cannelée par un premier orifice de la membrane.
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    none: Fig. 85. Incision de la dure-mère. Section de la dure-mère avec le bistouri guidé par la sonde cannelée / Fig. 86. Le volet ostéo-cutané est rabattu.
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    none: Fig. 87 et 88. Cisailles droite et gauche pour la résection de saillies exubérantes de la base du volet osseux / Fig. 89. Le volet ostéo-cutané est rabattu. Suture de la peau à points séparés. Pose des drains de verre...
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  none: 0065 - Page 57
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height: 3140
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    none: Fig. 91. Pansement ouaté compressif.
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    none: ark:/13685/23949x02/0065
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label:
  none: 0066 - Page 58 - Craniectomie atypique.
width: 1893
height: 2934
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  none: 0067 - Page 59 - Lésions traumatiques. Fractures du crâne.
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    none: 0067 - Page 59 - Lésions traumatiques. Fractures du crâne.
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    none: Fig. 92. Exploration d'une fracture du crâne avec enfoncement.
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  none: 0068 - Page 60 - Epanchements traumatiques intra-craniens.
width: 1912
height: 3157
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    none: 0068 - Page 60 - Epanchements traumatiques intra-craniens.
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    none: Fig. 93. La pince-gouge, dont une des branches a été introduite par un orifice creusé avec la fraise, saisit et extirpe un fragment osseux enfoncé / Fig. 94. Epanchement sanguin sous-jacent à une fracture du crâne par cause directe.
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  none: 0069 - Page 61 - Plaies pénétrantes du crâne par instrument contondant.
width: 1905
height: 3130
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    none: 0069 - Page 61 - Plaies pénétrantes du crâne par instrument contondant.
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    none: Fig. 95. Epanchement sanguin distant du foyer de la fracture (par contre-coup). Orifices creusés avec la fraise pour la recherche et l'évacuation du foyer.
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label:
  none: 0070 - Page 62 - Plaies pénétrantes du crâne par arme à feu.
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height: 3123
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    none: 0070 - Page 62 - Plaies pénétrantes du crâne par arme à feu.
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    none: Fig. 96. Enfoncement d'un fragment osseux dans le cerveau à la partie supérieure du pariétal, par la chute d'une lourde tige métallique.
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  none: 0071 - Page 63
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height: 3114
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    none: 0071 - Page 63
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    none: Fig. 97. Balle de plomb de 9 millimètres enkystée dans l'encéphale au voisinage de la selle turcique et parfaitement supportée.
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  none: 0072 - Page 64
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height: 3115
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    none: 0072 - Page 64
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    none: Fig. 98. Plaie pénétrante du crâne par arme à feu au niveau de la région frontale droite.
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height: 3143
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    none: 0073 - Page 65
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    none: Fig. 99. Plaie pénétrante du crâne par balle de revolver... Fig. 100... le projectile s'est arreté à la surface du cerveau... Il est mis à découvert... et le chirurgien l'extrait avec une pince tire-balles.
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  none: 0074 - Page 66
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height: 3162
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    none: 0074 - Page 66
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    none: Fig. 101. Même cas. Repérage du foyer traumatique qui contenait la balle...
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  none: 0075 - Page 67
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height: 3117
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    none: 0075 - Page 67
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    none: Fig. 102. Schéma montrant comment s'obtient à la surface de la peau, ... le repérage du foyer intracrânien / Fig. 103. Même cas. Le foyer est repéré à la surface de la peau, après la suture du volet, ...
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  none: 0076 - Page 68 - Sérothérapie préventive anti-tétanique et antistaphylococcique.
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    none: 0076 - Page 68 - Sérothérapie préventive anti-tétanique et antistaphylococcique.
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label:
  none: 0077 - Page 69 - Epilepsie jacksonienne tardive post-traumatique. Corps étrangers du cerveau.
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height: 3106
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    none: 0077 - Page 69 - Epilepsie jacksonienne tardive post-traumatique. Corps étrangers du cerveau.
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    none: Fig. 104. Exostose post-traumatique de la table interne ayant déterminé la formation d'un kyste séreux cortical.
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label:
  none: 0078 - Page 70 - Lésions inflammatoires.
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    none: 0078 - Page 70 - Lésions inflammatoires.
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  none: 0079 - Page 71
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height: 3453
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    none: 0079 - Page 71
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    none: Fig. 105. Craniectomie occipitale pour méningite chronique localisée. Incision des téguments / Fig. 106. Eclatement de la table interne à la périphérie du volet osseux avec le ciseau à angle mousse et le maillet.
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    none: Fig. 107. Craniectomie occipitale pour méningite chronique localisée. Incision de la dure-mère et découverte du foyer de méningite chronique.
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    none: 0082 - Page 74
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    none: Fig. 108. Abcès sous-cortical de la deuxième circonvolution frontale / Fig. 109. Le foyer est reconnu par le toucher digital et évacué par ponction avec une pince mousse.
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    none: Suture du volet. Tamponnement et drainage du foyer suppuré.
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  none: 0085 - Page 77 - Craniectomie en deux temps. Instruments à préparer pour la deuxième intervention.
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    none: 0085 - Page 77 - Craniectomie en deux temps. Instruments à préparer pour la deuxième intervention.
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    none: Fig. 111.
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  none: 0086 - Page 78 - Malformations congénitales et acquises.
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  label:
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    none: 0086 - Page 78 - Malformations congénitales et acquises.
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    none: Fig. 112. Large craniectomie fronto-pariéto-temporale. Volet osseux exactement remis en place / Fig. 113. Volet osseux soulevé à sa périphérie de 4 millimètres; le soulèvement moyen est de 2 millimètres.
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    none: Fig. 114. Deuxième intervention dans la craniectomie pour microcéphalie. Exploration du cerveau par une incision de la dure-mère en forme d'x / Fig. 115. Suture partielle des lambeaux de dure-mère par quelques points séparés à la soie fine.
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    none: Fig. 116. Large craniectomie pour épilepsie essentielle, avec l'instrumentation électrique.
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    none: Fig. 117. Craniectomie pour épilepsie essentielle avec l'instrumentation ordinaire.
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    none: Fig. 118. Craniectomie pour épilepsie essentielle avec l'instrumentation électrique.
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height: 3125
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    none: Fig. 119. Principaux centres moteurs corticaux.
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    none: ark:/13685/23949x02/0094
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height: 3132
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    none: Fig. 120. Exploration électrique d'un centre épileptogène gauche correspondant aux muscles extenseurs du poignet et de l'avant-bras droits / Fig. 121. Ligature des vaisseaux de la pie-mère autour du centre épileptogène.
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label:
  none: 0096 - Page 88 - Tumeurs du cerveau.
width: 1919
height: 3159
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    none: 0096 - Page 88 - Tumeurs du cerveau.
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    none: Fig. 122. Schéma montrant la profondeur à laquelle le centre épileptogène sera extirpé.
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  none: 0097 - Page 89
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height: 3162
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height: 3077
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    none: Fig. 123. Découverte d'une tumeur du cerveau / Fig. 124. Pansement d'un opéré de craniectomie. La tête est soulevée par la barre du lit à opération afin de faciliter la toilette de la région et l'application du pansement.
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height: 3099
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    none: 0099 - Page 91
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    none: Fig. 125. Kyste cérébral consécutif à l'ablation d'un énorme tubercule sous-cortical de la région motrice.
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  none: 0100 - Page 92 - Résection du ganglion de Gasser.
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    none: 0100 - Page 92 - Résection du ganglion de Gasser.
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  none: 0101 - Page 93 - Instruments pour la résection du ganglion de Gasser.
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height: 3071
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    none: 0101 - Page 93 - Instruments pour la résection du ganglion de Gasser.
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    none: Fig. 126.
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  none: 0102 - Page 94
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height: 3102
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    none: 0102 - Page 94
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    none: Fig. 127. Base du crâne montrant deux conformations extrêmes de la région du trou ovale.
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width: 1997
height: 3258
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    none: Fig. 128. Résection du ganglion de Gasser. Procédé temporo-sphénoïdal (Doyen)... Fig. 129. Tracé de la résection osseuse à la base du crâne...
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    none: Fig. 130. Résection du ganglion de Gasser par une méthode mixte... Fig. 131. Même opération. Tracé de la résection osseuse partant de la limite inférieure du volet temporal pour atteindre le trou ovale.
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    none: 0106 - Page 98
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    none: Fig. 132. Résection osseuse minimum pour la découverte du ganglion de Gasser. Même opération. Le tronc du nerf maxillaire inférieur est attiré en haut; la rugine ouvre la loge fibreuse du ganglion de Gasser.
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    none: Fig. 134. Même opération. La paroi supérieure de la loge du ganglion est soulevé avec une petite rugine coudée / Fig. 135. Rugine coudée pour soulever la dure-mère.
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  none: 0109 - Page 101
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height: 3096
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    none: 0109 - Page 101
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    none: Fig. 136. Pince-gouge coudée pour la préhension du ganglion de Gasser / Fig. 137 et 138. Préhension du tronc du trijumeau avec la pince-gouge au-dessus du ganglion de gasser...
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height: 3118
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    none: Fig. 139. Schéma de la zone d'anesthésie consécutive à l'extirpation complète du ganglion de Gasser.
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    none: Fig. 140. Extirpation du ganglion de Gasser d'après Krause par le procédé de la craniectomie temporaire (volet sphéno-temporal).
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  none: 0112 - Page 104
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height: 3090
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    none: 0112 - Page 104
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    none: Fig. 141. Même opération. Réapplication du volet ostéo-cutané. Suture de la peau à points séparés.
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    none: ark:/13685/23949x02/0113
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    none: 0114 - Page 106
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label:
  none: 0115 - Page 107 - Appareil auditif. Exploration de l'oreille. Otoscopie.
width: 2344
height: 3453
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    none: 0115 - Page 107 - Appareil auditif. Exploration de l'oreille. Otoscopie.
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    none: Fig. 142. Examen du tympan avec le miroir de Clar et le spéculum de Toynbee.
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    none: 0116 - Page 108
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    none: Fig. 143. Cathétérisme de la trompe d'Eustache.
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    none: ark:/13685/23949x02/0116
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label:
  none: 0117 - Page 109 - Instruments pour l'exploration de l'acuité auditive, pour l'examen du conduit auditif et du tympan, pour les petites opérations par le conduit auditif externe, pour le cathétérisme de la trompe d'eustache et pour la perforation du lobule de l'oreille.
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    none: 0117 - Page 109 - Instruments pour l'exploration de l'acuité auditive, pour l'examen du conduit auditif et du tympan, pour les petites opérations par le conduit auditif externe, pour le cathétérisme de la trompe d'eustache et pour la perforation du lobule de l'oreille.
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    none: Fig. 144.
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label:
  none: 0118 - Page 110 - Pavillon de l'oreille. Lésions traumatiques.
width: 1879
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    none: 0118 - Page 110 - Pavillon de l'oreille. Lésions traumatiques.
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    none: Fig. 145 et 145 bis. Trocart conique et canule creuse pour la perforation du lobule de l'oreille.
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  none: 0119 - Page 111
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height: 3436
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    none: 0119 - Page 111
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    none: Fig. 146. Perforation du lobule de l'oreille gauche / Fig. 147. Même opération. Le lobule est perforé. La canule creuse coiffe le poinçon... Fig. 148. Même opération. Le bec de l'anneau d'or, entr'ouvert, est introduit dans la canule creuse...
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label:
  none: 0120 - Page 112 - Lésions inflammatoires.
width: 2110
height: 3111
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    none: 0120 - Page 112 - Lésions inflammatoires.
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    none: Fig. 149. Section partielle de l'oreille. Suture du cartilage à points séparés. On suture ensuite la peau.
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label:
  none: 0121 - Page 113 - Difformités congénitales.
width: 2344
height: 3258
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  label:
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    none: 0121 - Page 113 - Difformités congénitales.
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    none: Fig. 150. Oreille exubérante. Tracé de la résection cunéiforme / Fig. 151. Même opération. Suture de la peau à points séparés.
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    none: ark:/13685/23949x02/0121
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label:
  none: 0122 - Page 114
width: 1908
height: 3094
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    none: 0122 - Page 114
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    none: Fig. 152. Eversion du pavillon. Tracé de la résection du sillon cutané rétro-auriculaire / Fig. 153. Dissection de deux petits lambeaux cutanés. Suture du périchondre ou périoste crânien / Fig. 154. L'opération est terminée.
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label:
  none: 0123 - Page 115 - Difformités acquises. Tumeurs.
width: 2261
height: 3388
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    none: 0123 - Page 115 - Difformités acquises. Tumeurs.
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label:
  none: 0124 - Page 116 - Conduit auditif externe. Lésions traumatiques.
width: 2122
height: 3307
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    none: 0124 - Page 116 - Conduit auditif externe. Lésions traumatiques.
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    none: Fig. 155. Epithéliome du sillon rétro-auriculaire.
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label:
  none: 0125 - Page 117
width: 1905
height: 3238
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    none: 0125 - Page 117
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    none: Fig. 156. Extraction d'un corps étranger ovoïde du conduit auditif externe avec une pince à mors en forme de cuiller / Fig. 157. Extraction d'un corps étranger sphérique avec un crochet courbe et coudé à angle droit...
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    none: Fig. 159. Polype inflammatoire inséré sur le promontoire / Fig. 160. Serre-nœud pour les polypes du conduit auditif externe.
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  none: 0129 - Page 121 - Membrane et caisse du tympan. Lésions traumatiques. Lésions inflammatoires.
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    none: 0129 - Page 121 - Membrane et caisse du tympan. Lésions traumatiques. Lésions inflammatoires.
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    none: Fig. 161 et 162. Image otoscopique des tympans gauche et droit. Une croix marque le lieu d'élection de la paracenthèse.
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    none: 0131 - Page 123 - Trompe d'eustache. Apophyse mastoide et pyramide pétreuse. Lésions traumatiques.
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    none: Fig. 163. Encastrement de 3 balles de plomb tirées dans l'oreille et arrêtées dans le rocher au-devant de l'aqueduc de Fallope à une faible distance du tympan et du sinus transverse.
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    none: Fig. 164. Evidement de l'apophyse mastoïde.
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  none: 0133 - Page 125 - Instruments pour l'évidement de l'apophyse mastoïde et l'ouverture des abcès intracrâniens d'origine otitique.
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    none: 0133 - Page 125 - Instruments pour l'évidement de l'apophyse mastoïde et l'ouverture des abcès intracrâniens d'origine otitique.
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    none: Fig. 165.
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    none: Fig. 166. Préparation anatomique montrant les cellules mastoïdiennes inférieures et la perte de substance de la table interne... Fig. 167. Préparation anatomique montrant en bas les cellules mastoïdiennes inférieures;...
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    none: Fig. 168. Evidement de l'apophyse mastoïde. Incision verticale des parties molles et du périoste en arrière de l'oreille.
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    none: Fig. 169. Evidement de l'apophyse mastoïde avec le trépan à cliquet et la fraise cylindro-sphérique de 16 millimètres.
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    none: Fig. 170. Evidement de l'apophyse mastoïde. Première excavation creusée avec la fraise cylindro-sphérique de 16 millimètres et mettant à découvert sans blesser la paroi du sinus latéral...
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    none: Fig. 171. Ouverture de l'antre mastoïdien. Le sinus est mis à découvert. La fraise est dirigée obliquement en haut, en avant et dedans... Fig. 172. Aspect de la perte de substance osseuse après le 2e temps de l'évidement à la fraise.
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    none: Fig. 173. Ouverture de l'attique et extraction des osselets / Fig. 174. Abord de la caisse du tympan par la voie mastoïdienne. Attaque de l'apophyse mastoïde avec la mèche plate.
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    none: Fig. 175. Perforation de l'apophyse avec la fraise cylindro-sphérique... Premier coup de fraise dirigé dans le sens transversal / Fig. 176. Deuxième coupe de fraise dirigé obliquement en haut puis en avant, pour atteindre l'antre mastoïdien.
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    none: Fig. 177. Coupe horizontale passant par l'axe du conduit auditif externe...
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    none: Fig. 178 / Figure grossie, montrant le deuxième coup de fraise, qui ouvre l'antre, et le troisième coup de fraise qui aboutit au-devant du tympan, en passant à 1 ou 2 millimètres en avant du nerf facial...
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    none: Fig. 179. Coupe transversale, passant par l'axe de l'aditus... Fig. 180. Le mur de la logette des osselets a été réséqué avec le ciseau et le maillet...
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    none: Fig. 181. Propagation des suppurations de la cavité du tympan à l'étage temporal, à la partie supérieure du conduit auditif externe, à l'aqueduc de Fallope et au labyrinthe.
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    none: 0148 - Page 140
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    none: Fig. 182. Abcès du lobe temporal. Abcès sous-dure-mérien repoussant la paroi du sinus latéral; abcès du lobe temporal du cerveau. Abcès cérébelleux.
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    none: Fig. 183. Face externe du temporal,... Fig. 184. Coupe horizontale du rocher au bord supérieur de l'arcade zygomatique... Fig. 185. Coupe du rocher passent par le 1/3 supérieur du conduit auditif externe...
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    none: Fig. 187, 188 et 188 bis. Crochet pour le mur de la logette et fraises cylindro-sphériques de 16 et de 20 millimètres.
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    none: Fig. 189. Evidement pétro-mastoïdien chez l'adulte. Point où doit pénétrer la mèche plate / Fig. 189 bis. Evidement pétro-mastoïdien chez l'enfant. Point où doit pénétrer la mèche plate.
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    none: Fig. 190. Evidement pétro-mastoïdien, 2e temps de l'opération. Introduction du crochet dans le conduit auditif osseux. En clair, le commencement de l'évidement.
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    none: Fig. 191. Position du crochet lorsque la fraise vient d'ouvrir l'antre / Fig. 191 bis. Préparation anatomique montrant l'endroit où la fraise, pénétrant trop loin, peut blesser le facial.
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    none: Fig. 192. Préparation montrant la saillie du canal semi-circulaire externe, ainsi que la deuxième et la troisième portion de l'aqueduc de Fallope.
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    none: Fig. 193. Rocher droit vu par sa face inférieure, et montrant l'orientation des coupes verticales... Fig. 194. Segment antérieur d'une coupe frontale du rocher droit, passant par le trou stylo-mastoïdien et montrant le résultat de l'évidement.
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    none: Fig. 195. Coupe verticale du rocher gauche suivant la ligne B de la fig. 193. Segments antérieur et postérieur montrant les rapports de l'orifice creusé par la fraise avec l'oreille moyenne, l'oreille interne et le nerf facial.
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  none: 0159 - Page 151 - Opérations sur l'appareil visuel. Méthodes d'exploration. Examen objectif de l'oeil et de ses annexes.
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    none: 0159 - Page 151 - Opérations sur l'appareil visuel. Méthodes d'exploration. Examen objectif de l'oeil et de ses annexes.
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    none: Fig. 196. Exploration de l'oeil à l'éclairage latéral. On distingue un corps étranger à la partie supérieure de la cornée / Fig. 197. Schéma de l'examen ophthalmoscopique montrant la zone d'éclairement de la rétine et le trajet des rayons visuels.
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label:
  none: 0161 - Page 153 - Soins généraux et locaux dans les opérations sur l'appareil visuel.
width: 1880
height: 3149
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    none: 0161 - Page 153 - Soins généraux et locaux dans les opérations sur l'appareil visuel.
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label:
  none: 0163 - Page 155 - Instruments spéciaux destinés aux opérations sur le globe de l'oeil.
width: 1883
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    none: 0163 - Page 155 - Instruments spéciaux destinés aux opérations sur le globe de l'oeil.
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label:
  none: 0164 - Page 156 - Région sourcilière.
width: 1861
height: 3117
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    none: 0164 - Page 156 - Région sourcilière.
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label:
  none: 0165 - Page 157 - Instruments nécessaires pour les opérations sur les yeux.
width: 2146
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    none: 0165 - Page 157 - Instruments nécessaires pour les opérations sur les yeux.
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    none: Fig. 198.
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label:
  none: 0166 - Page 158
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height: 3091
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    none: 0166 - Page 158
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    none: Fig. 199. Plaie de la région sourcilière. Suture à points séparés / Fig. 200. Asymétrie du sourcil. Incision en S pour le relèvement de la queue du sourcil / Fig. 201. La queue du sourcil est insérée dans la branche supérieure de l'incision, ...
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  none: 0167 - Page 159
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label:
  none: 0168 - Page 160 - Paupières.
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    none: 0168 - Page 160 - Paupières.
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    none: Fig. 202. Plaie oblique de la paupière supérieure intéressant l'aponévrose d'insertion du muscle releveur. Suture du tendon du releveur à points séparés. On réunit ensuite la peau.
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  none: 0169 - Page 161
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height: 3135
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height: 3113
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    none: Fig. 203. Epicanthus. La ligne courbe pointillée la plus interne représente le tracé de la résection du côté du nez,... Fig. 204. Même opération. La résection du repli semi-circulaire est effectuée. Suture de la plaie à points séparés.
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    none: Fig. 205. Canthoplastie externe. Incision horizontale intéressant la peau et la conjonctive / Fig. 206. Pose des trois premiers fils, pour la réunion de la nouvelle commissure palpébro-cutanée / Fig. 207. Aspect de la suture terminée.
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    none: Fig. 208. Canthorraphie externe. Avivement de la commissure palpébrale externe. Pose du premier fil de catgut / Fig. 209. Les sutures profondes sont terminées. On procède à la réunion des lèvres de l'incision cutanée.
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    none: Fig. 210. Canthorraphie subtotale. Avivement des deux paupières et de la commissure par dédoublement. Suture perdue de la conjonctive avec du catgut fin... Fig. 212. La suture de la conjonctive est terminée...
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    none: Fig. 214. Ptosis paralytique. 3e temps de l'opération. Le lambeau cutané, ... vient de recevoir les 3 anses de fil qui ont été passées sous le pont musculo-cutané / Fig. 215. 4e temps. Le lambeau cutané palpébral,... est réuni au muscle frontal...
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    none: Fig. 216. Trichiasis de la paupière supérieure. 3e et 4e temps de l'opération. Passage des fils et suture... Fig. 219. Opération du trichiasis de la paupière inférieure. 3e et 4e temps. Passage des fils de Suture.
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    none: 0177 - Page 169
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    none: Fig. 220 et 221. Ectropion atonique. Opération par le procédé de Dieffenbach.
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    none: Fig. 222. Ectropion de la paupière inférieure. Opération par la méthode de Wharton-Jones. Incision en V / Fig. 223. Suture de la plaie en Y, après mobilisation du lambeau / Fig. 224. Aspect de la suture à demi terninée.
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    none: 0180 - Page 172
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    none: Fig. 225. Symblépharon. Section de l'adhérence bulbaire / Fig. 226. Libération des deux lambeau muqueux latéraux. Pose des fils de suture / Fig. 227. Fermeture de la plaie par suite du glissement des lambeaux muqueux.
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height: 3114
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    none: Fig. 228. Excision en V d'un petit épithélioma du bord libre de la paupière / Fig. 229. Coupe antéro-postérieure montrant la disposition des sutures muqueuse et cutanée.
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    none: Fig. 230. Extirpation d'un chalazion par la voie conjonctivale... Fig. 231. Extirpation d'un chalazion faisant saillie sous la peau...
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label:
  none: 0184 - Page 176 - Blépharoplastie.
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    none: 0184 - Page 176 - Blépharoplastie.
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    none: Fig. 232. Extirpation d'un chalazion par la voie conjonctivale.
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height: 3158
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    none: Fig. 233. Extirpation d'un chalazion faisant saillie du côté de la peau.
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height: 3097
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    none: Fig. 234. Extirpation d'une cicatrice de la paupière supérieure / Fig. 235. Même opération. La suture est terminée.
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    none: ark:/13685/23949x02/0186
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label:
  none: 0187 - Page 179
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height: 3128
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    none: 0187 - Page 179
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    none: Fig. 236. Extirpation d'un petit cancroïde de la paupière inférieure. Autoplastie par glissement / Fig. 237. Aspect de la suture terminée / Fig. 238. Réparation partielle de la paupière inférieure par le glissement d'un lambeau cutané horizontal.
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label:
  none: 0188 - Page 180
width: 1866
height: 3136
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    none: Fig. 239. Extirpation d'un cancroïde très étendu de la paupière inférieure. Tracé du lambeau autoplastique / Fig. 240. Aspect de la ligne de réunion après la pose des premiers points de suture...
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label:
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height: 3103
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    none: Fig. 243. Destruction de la paupière inférieure et des téguments de la joue par le calorique. Ectropion inférieur considérable.
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label:
  none: 0190 - Page 182
width: 2248
height: 3466
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    none: Fig. 244. Id. Première intervention, 1er temps de l'opération. Libération du rebord conjonctivo-palpébral inférieur / Fig. 245. Id. 2e temps. Suture d'un lambeau cutané brachial.
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height: 3453
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    none: 0191 - Page 183
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    none: Fig. 246. Id. Fixation du bras et de la tête par un bandage plâtré à la fin de l'opération / Fig. 247. Id. Position du bras et de la tête, maintenus en rapport par le bandage plâtré.
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height: 3122
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    none: 0192 - Page 184
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    none: Fig. 248. Id. Position du bras et de la tête, vus du côté gauche. On aperçoit le lambeau autoplastique.
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    none: Fig. 249. Deuxième intervention. Le bandage plâtré vient d'être enlevé. Aspect du lambeau autoplastique au moment où il va être détaché du bras / Fig. 250. Id. 3e temps. Réunion du lambeau autoplastique et sutures complémentaires.
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    none: Fig. 251. Id. Résultat de l'opération. La mortification de la partie inférieure du lambeau brachial a nécessité l'application d'un second lambeau en ce point.
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  none: 0195 - Page 187 - Maladies des voies lacrymales excrétoires.
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    none: 0195 - Page 187 - Maladies des voies lacrymales excrétoires.
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    none: Fig. 252. Introduction du stylet conique dans le point lacrymal inférieur.
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    none: Fig. 253. Incision du conduit lacrymal inférieur. Le couteau de Weber est introduit jusqu'au sac... Fig. 254. Aspect de l'incision complète du conduit inférieur, après cicatrisation.
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    none: Fig. 255. Cathétérisme du canal nasal avec la sonde de Bowman.
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    none: Fig. 256. Incision du canal nasal rétréci avec le couteau de Stilling.
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    none: ark:/13685/23949x02/0198
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  none: 0199 - Page 191
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    none: 0199 - Page 191
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    none: Fig. 257. Extirpation du sac lacrymal. Le sac fibreux est attiré en dehors avec une pince à griffes, pendant qu'il est énucléé de sa gouttière avec une petite rugine.
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  none: 0200 - Page 192 - Opérations sur la conjonctive.
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    none: 0200 - Page 192 - Opérations sur la conjonctive.
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  none: 0201 - Page 193
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    none: 0201 - Page 193
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    none: Fig. 258. Opération du ptérygion. Les tissus pathologiques sont saisis avec une pince à griffes et détachés de la cornée, puis excisés / Fig. 259. Plaie résultant de l'excision complète du ptérygion / Fig. 260. Suture transversale de la conjonctive.
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  none: 0202 - Page 194
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    none: 0202 - Page 194
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  none: 0203 - Page 195
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height: 3289
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    none: 0203 - Page 195
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    none: Fig. 261. Epithéliome de la conjonctive développé près de la cornée / Fig. 262. Tracé de l'incision nécessaire pour extirper le néoplasme / Fig. 263. Suture de la conjonctive.
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  none: 0204 - Page 196 - Opérations sur les insertions bulbaires des muscles moteurs de l'oeil.
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    none: 0204 - Page 196 - Opérations sur les insertions bulbaires des muscles moteurs de l'oeil.
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    none: Fig. 264. Ténotomie du tendon du droit interne. Le tendon est chargé sur un crochet mousse / Fig. 265. Section des expansions aponévrotiques sous-conjonctivales du tendon.
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  none: 0205 - Page 197
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    none: Fig. 266. Avancement musculaire du droit externe. Passage des deux fils principaux dans la conjonctive et le bout périphérique du tendon / Fig. 267. Section du tendon... Fig. 268. Même opération. La suture est partiellement terminée.
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    none: Fig. 269. Strabotomie du droit interne. Incision du pli conjonctival.
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  none: 0207 - Page 199
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height: 3453
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    none: 0207 - Page 199
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    none: Fig. 270. Section du tendon qui est chargé sur le crochet mousse / Fig. 271. Suture de la conjonctive.
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label:
  none: 0208 - Page 200 - Cornée et chambre antérieure.
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    none: 0208 - Page 200 - Cornée et chambre antérieure.
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    none: Fig. 272. Extraction d'un corps étranger de la cornée.
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  none: 0209 - Page 201
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    none: 0209 - Page 201
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  none: 0210 - Page 202
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    none: 0210 - Page 202
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  none: 0212 - Page 204
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height: 3120
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    none: 0212 - Page 204
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    none: Fig. 273. Péritomie. La cornée doit être circonscrite par 8 ou 10 rangs de scarification dont les extrémités se croisent / Fig. 274. Les scarifications doivent entamer la couche superficielle de la sclérotique, ...
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  none: 0213 - Page 205
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height: 3364
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    none: 0213 - Page 205
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    none: Fig. 275. Paracenthèse de la chambre antérieure avec le couteau lancéolaire coudé. Les paupières sont écartées par le blépharostat.
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label:
  none: 0214 - Page 206 - Opérations sur l'iris.
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height: 3121
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    none: 0214 - Page 206 - Opérations sur l'iris.
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  none: 0215 - Page 207
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height: 3101
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  label:
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    none: 0215 - Page 207
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    none: Fig. 276. Iridectomie optique. Incision de la cornée avec le couteau lancéolaire / Fig. 277. L'iris est saisi suivant un de ses rayons / Fig. 278. L'iris est attiré en dehors et sectionné... Fig. 279. L'iris est réduit. Aspect de la pupille artificielle
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    none: Fig. 283. Coupe antéro-postérieure montrant à la partie supérieure de la cornée la direction verticale de l'incision de la sclérotique antérieure...
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    none: Fig. 284. Sclérotomie antérieure. Le couteau de Graefe doit ménager un pont sclérotical superficiel / Fig. 285. Sclérotomie postérieure antiphlogistique en T.
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    none: Fig. 286. Opération de la cataracte. Extraction du petit lambeau supérieur. Incision de la cornée.
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    none: Fig. 287. Opération de la cataracte à petit lambeau supérieur. Incision de la cornée / Fig. 288. Incision de la capsule avec le kystitome.
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    none: Fig. 293. Id. Coupe antéro-postérieure montrant l'action simultanée de la curette et de la pince à fixer pour l'expulsion du cristallin.
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    none: Fig. 294. Discision d'une cataracte secondaire avec l'aiguille à cataracte et l'aiguille falciforme.
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