. Modern surgery, general and operative. nd if this has happened, be onthe watch for secondary hem-orrhage (these vessels being infirm canals). Treatment.—If the fracturedoes not implicate the alveolus,or if no deformity exists, applyno apparatus, but feed the pa-tient on liquid for four deformity, if it exists,by inserting a finger in themouth. If the antrum is brokenin, put the thumb in the mouthand push the malar bone upand back. In certain cases ofdeformity make an incision atthe anterior border of themasseter muscle, insert a ten-aculum or aneurysm needle, andpull the bone in
. Modern surgery, general and operative. nd if this has happened, be onthe watch for secondary hem-orrhage (these vessels being infirm canals). Treatment.—If the fracturedoes not implicate the alveolus,or if no deformity exists, applyno apparatus, but feed the pa-tient on liquid for four deformity, if it exists,by inserting a finger in themouth. If the antrum is brokenin, put the thumb in the mouthand push the malar bone upand back. In certain cases ofdeformity make an incision atthe anterior border of themasseter muscle, insert a ten-aculum or aneurysm needle, andpull the bone into place (Ham-ilton). If the malar bone ormalar process is driven into theantrum. Weir tells us to incisethe mucous membrane aboveand external to the canine tooth of the upper jaw, break into the antrum with abone-gouge, insert a steel sound, lift out the malar bone, and pack the antrumwith gauze. Loose teeth are not to be removed; they are pushed back into placeand held by wiring them to their firmer neighbors. Hemorrhage is arrested. ric. 2>3>2,- -Front view of splint (Fig. 332), with mouthclosed (Moriarty). Fractures of the Zygomatic Arch 619 by cold and pressure. If hemorrhage is dangerously profuse or prolonged, tiethe external carotid artery. If the line of the teeth, notwithstanding the wiring, is not regular, mold onan interdental splint. The usual splint for the upper jaw is the lower jaw heldfirmly against it by the Gibson, the Barton, or the four-tailed bandage. Thereis a great amount of dribbling of saliva during the treatment, and a dressing mustbe used to catch this fluid. Every day remove the bandage and dressing,and wash the face with soap and water. The patient, who is ordered not totalk, is to live on liquid food administered by a nasal tube or by pouring it intothe mouth back of the last molar tooth by means of a tube or a pull a tooth to obtain a feeding space; but if a tooth is lost, utilize thevacant space for this purpose. After
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