. Annals of surgery . sinus-itis and had entirely cleared up on the fourth day. He was discharged fromthe service one month after operation. Subsequent X-rays showed that osteogenesishad continued without interruption. 45fi MAXAGEMEXT OF IXJLRIES TO THE CRAXIUM Case \II : Illuslratjng initial absorption of edges of the transplant zi-ithsubsequent aetive osteogenesis.—Sergeant M. E. received high explosivegunshot wound of the skull, shell fragments perforating helmet. A debridementand decompression were done immediately. The wound healed within three weeks;ten months later he was operated u
. Annals of surgery . sinus-itis and had entirely cleared up on the fourth day. He was discharged fromthe service one month after operation. Subsequent X-rays showed that osteogenesishad continued without interruption. 45fi MAXAGEMEXT OF IXJLRIES TO THE CRAXIUM Case \II : Illuslratjng initial absorption of edges of the transplant zi-ithsubsequent aetive osteogenesis.—Sergeant M. E. received high explosivegunshot wound of the skull, shell fragments perforating helmet. A debridementand decompression were done immediately. The wound healed within three weeks;ten months later he was operated upon for defect. External table with attachedpericranium was used to fill in defect. The rontgenographs show initial absorp-tion of the transplant with subsequent active osteogenesis. C.\SE \III: Slioti-ing that the ferieraninm ean be apposed to the dura Uilh-out interfering Ziith osteogenesis.—Private J. S., while driving motorcycle nearCoblenz collided with an automobile and sustained fracture compound comminuted. Fig. 20.—Case X. S. Larjie Cap includinti scar. Pencranium reflected toward thecentre of the defect; dura separated from inner table for a distance of one ccntiinctre; edgeof defect roughened with rongeur. of the right frontal region with a linear fracture radiating from depression in toright orbit. A debridement and decompression were immediately done and thewound healed in two weeks. On examination ten months later he complained ofvertigo, tingling sensation on extensor and flexor surfaces of both forearms,(Iimnc^s of vision and cephalalgia, all of which had persisted since his first was very restless and depressed. In this instance the graft had a tendencyto curl and when placed in the defect the normal contour of the skull was main-tained, the pericranial side of the graft being apposed to the dura. Patient wasimmediately relieved of all symptoms and subsequent X-ray showed thatosteogenesis continued without interruption. C.\SE IX : Illustrates
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
