When quite close to the orifice, with a well-defined hardness, as of a ring round the urethra, it may be divided subcutaneously by a tenotomy knife or other narrow-bladed instrument.
Still there remain several deformities for the relief of which subcutaneous tenotomy is a most important remedy; chief among these are Wry Neck and Club-foot.
Preliminary tenotomy of the shortened tendons is required in some cases.
If the muscular error be over-corrected it may also require tenotomy on the other eye, the adjustment by tenotomy being more accurate than that by advancement.
This is done with a tenotomy knife, the flaps being held apart by means of forceps.
A tenotomy hook is passed beneath the tendon and its expansion and brought out through a small hole in Tenon’s capsule on the opposite side of the tendon.
Through the incision thus made Schwartze’s tenotomy knife (a very fine blunt-pointed instrument curved on the flat (Fig.
If the error be large it must be rectified by tenotomy of the corresponding muscle of the other eye or by the advancement of the opposing muscle of the same eye.
The injection should be made through the hole made by the tenotomy knife, sufficient paraffin being inserted to obtain the desired result.
If Schwartze’s tenotomy knife be used, two tenotomy knives are required, one for the right and one for the left ear.
If so, the malleus should be grasped by a fine pair of forceps and the tendon severed by means of Schwartze’s tenotomy knife.
The next step is tenotomy of the tensor tympani muscle (see p.
The theory has been advanced that the unopposed action of the stapedius muscle prevents free movement of the stapes in these cases, and for this reason tenotomy of its tendon is advocated.
A granulation may form at the site of the tenotomy wound.
A good style of shoe for bracing the fetlock where tenotomy has been performed, or in case of traumatic division of the flexor tendons.
Tenotomy is not of practical benefit unless ample time is allowed for regeneration of divided tendinous tissue.
Where contraction of tendons exists and no osseous or ligamentous change prevents correction of the condition, tenotomy is necessary.
In all serious cases of inflammation of the carpal flexors, whether tenotomy has been performed or not, the subject needs a long period of rest subsequent to treatment.
Where there exists no articular or ligamentous diseases which would defeat the purpose, tenotomy is the only remedy for contracted tendons.
Cunean tenotomy has been advocated and practiced by Abildgaard, Lafosse, Peters, Herring, Zuill and others and good results have followed in many cases so treated.
This is recommended by Breton[25] as being productive of good results even where contraction of tendons exists andtenotomy is done.
Tenotomy and the transplantation of tendons are also often practised, when other methods of treatment fail.
A tenotomy may be required to bring the foot into its proper position.
Chase of Philadelphia, seems to trust almost entirely to the employment of apparatus, and to resort to tenotomyonly in the worst grades of the disease.
The comprehension of the defective sight often present in squint as caused by "non-use" has resulted in the preposterous advice that tenotomy should be carried out as early as possible.
In tenotomy we may count as gain the apparent divergence which it causes in hypermetropes who do not squint.
If the squinting eye has only an unavailable visual acuteness, a combination of tenotomy of the internal rectus with shortening of the external rectus is the best procedure.
Finally, the normal amplitude of accommodation was restored by tenotomy of the left internal rectus, and when I saw the patient twelve years later I was able to satisfy myself that both were perfectly preserved.
Tenotomy of the internal rectus and advancement of the abducens of the right eye at the end of December.
At the end of May, 1879, shortening of the left internal rectus, tenotomy of both externi.
The tenotomy then had no effect at all on the position of the eye; however, the restriction of movement dependent on it, asserted itself in that the double images were crossed on the limit of the right visual field (about 45 deg.
Notwithstanding the small number of these cases we may conclude from them, that homonymous diplopia in typical convergent squint (not paralytic) can only be corrected occasionally by one-sided tenotomy when the deviation is slight.
This result would have sufficed perfectly for a cosmetic tenotomy where binocular fusion did not exist; the annoyance caused to patient by diplopia, however, was only slightly relieved.
I can vouch for the fact that even the earliest tenotomy of the ocular muscles is of no avail against congenital amblyopia.
Double tenotomy of the internal recti effected a normal position, and at the end of December, 1874, the continuance of the same could be proved as well as binocular fusion with prisms.
On July 14th, tenotomy of the internal rectus of the left eye; single vision next day on correction of the myopia, prism 6 deg.
Toulouse, who{269} was likewise the pioneer in subcutaneous tenotomy of the tendo Achillis and in autoplastic operations.
Puncture with a tenotomy knife and scraping the interior, and the injection of irritants, are alternative, but less satisfactory, methods of treatment.
The above list will hopefully give you a few useful examples demonstrating the appropriate usage of "tenotomy" in a variety of sentences. We hope that you will now be able to make sentences using this word.
