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Surgical work should not be undertaken until the nature and location of the disease is first determined. In a limited number of cases it may be advisable to remove portions of the cranial bone or bones for explorative purposes. Localization of cerebral functions has made it possible in certain cases to make an accurate diagnosis. There are large portions of the cortex, that the functions of are not understood, but the sensor motor area, the visual area, the speech area, the auditory area, and the areas of sensations of smell and taste are known, and these facts in connection with the various symptoms will generally guide to a correct idea of the nature and situation of the lesion.
Trephining may be performed for the removal of foreign substances, spicula of bone, depressed bone, blood clot, the opening of an abscess, the removal of cysts, excision of tumors, for the relief
DeVILBISS A. THE TECHNIQUE OF RESECTIONS OF THE SKULL. JAMA. 1897;XXVIII(1):19–21. doi:10.1001/jama.1897.02440010019001g
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