. Minor and operative surgery, including bandaging . r process of the bone. Treatment.—The dressing of a fracture of the lower 358 FRACTURES. jaw, after reducing the displacement and replacing anyloosened or detached teeth, consists in applying a pad oflint under the chin and bringing the jaw up against theupper jaw, holding the compress in place, and securing thejaws firmly in contact by applying a Bartons (Fig. 253),modified Bartons, or Gibsons bandage. The bandageshould be removed and reapplied at the end of the secondor third day, and at like intervals during the course oftreatment. The pa
. Minor and operative surgery, including bandaging . r process of the bone. Treatment.—The dressing of a fracture of the lower 358 FRACTURES. jaw, after reducing the displacement and replacing anyloosened or detached teeth, consists in applying a pad oflint under the chin and bringing the jaw up against theupper jaw, holding the compress in place, and securing thejaws firmly in contact by applying a Bartons (Fig. 253),modified Bartons, or Gibsons bandage. The bandageshould be removed and reapplied at the end of the secondor third day, and at like intervals during the course oftreatment. The patient should be fed upon a liquid orsemisolid diet, not being allowed to chew solid food untilunion at the seat of fracture has become firm. A verysatisfactory temporary dressing for a fracture of the lowerjaw consists in the application of a four-tailed sling. Some surgeons prefer to use an external splint mouldedfrom pasteboard or gutta-percha fitted to the chin in thedressing of this fracture (Figs. 254 and 255), this being Fig. 254. Fig. Shape of splint before being fitted to chin. Splint moulded to fit (Roberts.) chin. (Roberts.; padded with cotton and held in place by a Bartons orGibsons bandage. Where there is much difficulty inkeeping the fragments in position wiring together of theteeth may be employed, or the fragments may be perfor-ated with a drill and held in place by a strong silver wiresuture; interdental splints of metal or gutta-percha arealso sometimes used for this purpose. During the courseof treatment of fracture of the jaws the mouth often be-comes very offensive from fermentation of the saliva anddischarges, and it is well to use frequently a mouth-washof chlorate of potassium and tincture of myrrh, or boricacid solution. FRACTURES OF THE RIBS. 359 The dressings : >r fracture of the lower jaw are appliedfor four or six weeks, the union usually being quite tirniat the end of this time. Fracture of the Hyoid Bone.—In fracture of thehyoid bone,
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