. The Röntgen rays in medical work . hot wound above the right superciliary ridge. From the symptoms it was imagined that the bullet had lodged in the orbit, which was explored, but without * Liverpool Medico-CMrurgical Journal, March, 1902. MEDICAL AND SURGICAL APPLICATIONS 149 success. Five years later the rays revealed a foreign body some-where near the G-asserian ganglion. A radiogram taken at the timewould have prevented the useless exploration of the orbit. More-over, had the bullet been removed by operation, the patient mighthave been spared the ensuing paralysis of the fifth (except it
. The Röntgen rays in medical work . hot wound above the right superciliary ridge. From the symptoms it was imagined that the bullet had lodged in the orbit, which was explored, but without * Liverpool Medico-CMrurgical Journal, March, 1902. MEDICAL AND SURGICAL APPLICATIONS 149 success. Five years later the rays revealed a foreign body some-where near the G-asserian ganglion. A radiogram taken at the timewould have prevented the useless exploration of the orbit. More-over, had the bullet been removed by operation, the patient mighthave been spared the ensuing paralysis of the fifth (except its motorbranch) and of the olfactory and optic nerves. Many other bullets have been detected in the brain by theEontgen rays.* Thus, Eulenberg described two such cases. Inthe first the foreign body was found in the right middle fossa ofthe skull, a little to one side of the median line ; in the secondit was shown close behind the orbital fissure. In detecting a bulletin this position, it is of practical importance to note that it may. SCREEN Fig. 76. sometimes be readily seen by means of the screen where a longexposure has previously failed to obtain a photographic record, asin a case described by Dr. Bruce, t In such an event it is possibleto locate with the tube in two positions (A, B) by bringing anopaque object into line with the foreign body, and then markingthe entry and exit of that line on both sides of the skull. Thepoint of intersection would be the site of the bullet. In radiographing the skull short exposures are desirable, so as tolessen the chance of subsequent loss of hair from special suscepti-bility or from over-exposure. If a prolonged screen examination, or more than two or three * Deutsch. Med. Wochenschrift, August 17, Medical Record. April 17, 1897. 150 THE RONTGEN RA YS IN MEDICAL WORK exposures have been made, it Mall be wiser to put off any furtheroperations for a week or ten days. The tube should be placed at a distance of 15 inches to 20 inches
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