War surgery of the faceA treatise on plastic restoration after facial injury by John BRoberts ..Prepared at the suggestion of the subsection on plastic and oral surgery connected with the office of the surgeon generalIllustrated with 256 figures . unnec-essary when the shock has occurred from lightning directly orby the induced current due to an adjacent object being struck bylightning. Persons struck by lightning or shocked from a livewire should be treated for a long time, even if apparently dead,since recovery has taken place after several hours of apparentdeath. Artificial respiration is v
War surgery of the faceA treatise on plastic restoration after facial injury by John BRoberts ..Prepared at the suggestion of the subsection on plastic and oral surgery connected with the office of the surgeon generalIllustrated with 256 figures . unnec-essary when the shock has occurred from lightning directly orby the induced current due to an adjacent object being struck bylightning. Persons struck by lightning or shocked from a livewire should be treated for a long time, even if apparently dead,since recovery has taken place after several hours of apparentdeath. Artificial respiration is very valuable; surface stimula-tion by friction or mustard plasters and hot-water bottles may beuseful. Hot rectal enemas may do good. It is said that theinternal use of alcohol as a stimulant is undesirable. Strychniamay be used. The burns may cause extensive sloughing and theresulting ulcer be very long in healing. The local and generalsymptoms should be treated on accepted surgical principles. CHAPTER XI. GUNSHOT AND OTHER FRACTURES OF THE FACIAL BONES. Gunshot fractures in the face are usually perforating and there-fore very liable to involve the cavities of nose, mouth, ear, sinusesor pharynx. Comminution and infection are common com-. FiG. 68.— Perforating bullet wound causing fractureof bones of face. (Courtesy of Dr. H. W. Scarlett.) plications. Secondary hemorrhage is a likely sequence of suchinfection unless foreign bodies are early removed and the trackexcised, thoroughly disinfected or efficiently drained. Otherfractures of the facial bones are usually the result of direct vio-lence ; hence several of the bony components of the face may bebroken by the same injury. Comminution is therefore frequent. 181 l82 WAR SURGERY OF THE FACE. Owing to the great vascularity of the parts, union takes placequickly and with the formation of but little callus. Fractures ofthe anterior fossa of the cranium may be complicated with frac-tures of the deep portions of the facial skelet
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