. International record of medicine . ble, in consequence of themanner in which the bones have been crushed, to remedythe displacement in any other way. Now let me ask. Is it possible to keep the bones in appo-sition without internal support ? This is a question that themodern rhinologist ought to answer negatively. Morell Mackenzie, whom I regret to have it, possible toquote in this manner, also says: There is seldom, there-fore, any necessity for splints or other supporting apparatus,which are, moreover, as a rule, intolerably irksome to thepatent. Bryant says: Plugging of the nostrils is a u


. International record of medicine . ble, in consequence of themanner in which the bones have been crushed, to remedythe displacement in any other way. Now let me ask. Is it possible to keep the bones in appo-sition without internal support ? This is a question that themodern rhinologist ought to answer negatively. Morell Mackenzie, whom I regret to have it, possible toquote in this manner, also says: There is seldom, there-fore, any necessity for splints or other supporting apparatus,which are, moreover, as a rule, intolerably irksome to thepatent. Bryant says: Plugging of the nostrils is a uselesspractice. Allow me to report a case from my note-books whichwill better illustrate my views on this subject, and is, clin-ically speaking, in the line of treatment followed which hasproved entirely satisfactory to me in all of the cases offracture of the ossa nasi that have fallen under my profes-sional care. Case.—Mr. B., aged about thirty-four years, a line specimenof manhood, was engaged in boxing with a companion and re-. ceived a blow upon the nose which fractured both nasal bonesand the vomer. Tlie nose previous to the present accident wasmuch flattened and considerably turned to the left from a badlyadjusted previous fracture from a blow from a base-ball club. 510 ROOSEVELT: AN AUTOMATIC PLEXOR AND PLEXIMETER. [N. y. Mbd. Jot:b., His present fracture was dressed by a physician, who, in accord-ance witli tlie standard text-book teachings, pasted a broad pieceof adhesive plaster over tlie nose extending to either cheek. Hewas sent to me two days after, when I removed the plaster andadjusted the fragments as well as T could to their normal posi-tion, considerable tumefaction interfering somewhat. On thefourth day I had hira lie down in my office, and taking a pieceof felt from a white felt hat, I cut it into the shape of an X,making the arms of the letter long. This I moistened and molded to the nose, foreliead, and lowerparts of cheeks, having the fragments properl


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Keywords: ., bookcentury1800, bookdecade1860, booksubjectmedicine, bookyear186