A practical treatise on fractures and dislocations . r mar-gin of the condyle. A slight fulness is observed in the temporal fossa,and also upon the side of the cheek in the region of the masseter muscle. Ordinarily the patient suffers considerable pain, but not always,from the pressure of the condyles upon the branches of the temporalnerves. There is a constant flowing of the saliva from the mouth; thepatient is unable to articulate, and even deglutition is performed withgreat difficulty. Prognosis.—When the dislocation remains unreduced, the lower jawgradually approximates the upper, and its
A practical treatise on fractures and dislocations . r mar-gin of the condyle. A slight fulness is observed in the temporal fossa,and also upon the side of the cheek in the region of the masseter muscle. Ordinarily the patient suffers considerable pain, but not always,from the pressure of the condyles upon the branches of the temporalnerves. There is a constant flowing of the saliva from the mouth; thepatient is unable to articulate, and even deglutition is performed withgreat difficulty. Prognosis.—When the dislocation remains unreduced, the lower jawgradually approximates the upper, and its anterior projection sensiblydiminishes, the saliva ceases to dribble from the mouth, deglutitionand speech are restored, mastication is performed with considerableease, and, in short, the patient comes at length to experience no greatinconvenience from the displacement. Robert Smith relates the case of a woman whose lower jaw was dis-located during an epileptic convulsion. She was at the time in one of 536 DISLOCATIONS OF THE LOWER JAW. Fig. the metropolitan hospitals, but the accident was not noticed by thesurgeons, and it remained ever afterwards unreduced. At the end of a year she could close the lips per-fectly, but was able to open the mouthonly to a limited extent; the teeth ofthe lower jaw remained advanced, theinvoluntary flow of saliva had ceased,and the faculty of speech had In Professor Websterscase, to which I have before referred,although the jaw was immediatelyand easily reduced, after the lapseof several years, when I saw thelady, she still complained that it hurther whenever she ate, and that sheoften felt the condyles slip in theirsockets. Reduction has been accomplishedby Physick in the case already relatedafter the lapse of several weeks; SirAstley Cooper reduced a double dis-location after a month and five days,which had been overlooked by thesurgeon in attendance;2 and Donovansucceeded after ninety-five —Reduction ma
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectfractur, bookyear1875
