The practice of surgery . inflammation supervene, andadvance to suppuration, either in thelimited or in the diffuse form, earlyincision is demanded ; in the one case,to evacuate pus, and prevent accumu-lation ; in the other, to limit its forma-tion, and prevent infiltration. Whenthe areolar tissue beneath the occipito- frontalis expansion is implicated in the latter event, incision is requiredto be especially early and free; not only to avert destruction to texture,but also to prevent, or moderate, implication of the all-important cranialcontents. These, indeed, must be duly
The practice of surgery . inflammation supervene, andadvance to suppuration, either in thelimited or in the diffuse form, earlyincision is demanded ; in the one case,to evacuate pus, and prevent accumu-lation ; in the other, to limit its forma-tion, and prevent infiltration. Whenthe areolar tissue beneath the occipito- frontalis expansion is implicated in the latter event, incision is requiredto be especially early and free; not only to avert destruction to texture,but also to prevent, or moderate, implication of the all-important cranialcontents. These, indeed, must be duly regarded, throughout the wholeperiod of treatment, as in simple contusion (p. 24). Punctured wounds of the scalp, usually oblique and penetrating, arealways important; being very apt to be followed by severe inflammatoryaction; and at an early period, and on this account, demanding inci-sion. As a general rule, it may be stated that inflammatory action inthe scalp must always be treated with great activity. First, because. The four-tailed Bandage; of use in retainingdressings on any particular part of the piece of cloth split at either end ; the centralunsplit portion placed on the dressing. Thetwo posterior ends secured below the chin;the two anterior ends, overlapping these, crossat the occiput, and are also secured below thechin. 30 WOUNDS OF THE TEMPORAL ARTERY. the textures are unfavorable for safe advancement of the process ; theyare vascular, tense, unyielding, fibrous; the action is apt acute;the exudation is copious and rapid, accommodation afforded by the reci-pient texture is insufficient, tension ensues, and, as usual, aggravationfollows thereon; suppuration is speedy, and apt to be diffuse ; and thepus tends to burrow rapidly, and in all respects destructively, beneaththe fibrous structures. Secondly, the part affected is in close and dan-gerous proximity to the cranial contents; and these are apt to beinvolved in a secondary, but not less important, i
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