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 . Pig. 56.— Diagram showing track through brain and missile, which grm., lying in middle of abscess. The missile is shown of natural sizealongside of the diagram. Postmortem findings. (Harvey dishing.) 96 WAR SURGERY OF THE FACE. A scratched or abraded cornea may be protected from infection bydissecting up a bridge or flap of conjunctiva and
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 . Pig. 56.— Diagram showing track through brain and missile, which grm., lying in middle of abscess. The missile is shown of natural sizealongside of the diagram. Postmortem findings. (Harvey dishing.) 96 WAR SURGERY OF THE FACE. A scratched or abraded cornea may be protected from infection bydissecting up a bridge or flap of conjunctiva and stitching it acrossthe damaged cornea. Thus blindness may be averted in some Fig. 57-—Penetrating bullet wound of brain. Entrance wound very small,caused by nose of bullet. Note reversion of bullet after tumbling in the brain.(From K. Speed Surgical Clinics of Chicago.) Cicatricial contractions resulting from loss of the soft parts,whether by avulsion or by necrosis, as occurs in burns, arefamiliar deformities in the domain of plastic surgery of the eyelids. Marked extravasation of blood under the conjunctiva of theeyeball occurring a day or two after head injury, but not appear-ing in the eyelids until later, is very suggestive of fracture of theorbital plate of the frontal, or of the sphenoid bone. Subconjunc-tival ecchymosis, however, may occur as a result of a direct blowupon the eyeball, or from violent vomiting or coughing. Frac-ture of the malar or upper jaw bone ma)- also cause the appear- ASSOCIATED INJURIES IN WOUNDS OF THE FACE. 97 ance of blood under the conjunctiva of the globe. Fracture of thebony walls of orbital cavity may by displacement cau
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