The practice of surgery . ose bones. 918 MINOlt SIRGEHY—DISEASES OF STRrCTlHE Fracture of the nose is not painful after the initial injury, but thereis nearly always marked swelling and crepitus with the defonnity. Before undertaking the ti^eaiment of a nasal injury the suigeonshould examine carefully, with the aid of a head-mirror, the interiorof the nostrils, and should correct any obvious displacement of theseptum. Cocain anesthesia or general anesthesia may be necessaryto accomplish this result, for the manipulation is painful. Then thesurgeon should replace the fractured bone if there be
The practice of surgery . ose bones. 918 MINOlt SIRGEHY—DISEASES OF STRrCTlHE Fracture of the nose is not painful after the initial injury, but thereis nearly always marked swelling and crepitus with the defonnity. Before undertaking the ti^eaiment of a nasal injury the suigeonshould examine carefully, with the aid of a head-mirror, the interiorof the nostrils, and should correct any obvious displacement of theseptum. Cocain anesthesia or general anesthesia may be necessaryto accomplish this result, for the manipulation is painful. Then thesurgeon should replace the fractured bone if there be a fracture, usingwithin the nose a proper elevator. Roes elevator is a useful instru-ment. The surgeon must then endeavor to hold the replaced bonesin position. He may do this fairly well by packing the nostrils withgauze, if the fracture be high; while if there is a low deviation, he maywell use the Asch tube. In the case of a crushed nose he may model or reconstruct the nose over theAsch tube, one tube being placed in.
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
