The treatment of fractures . Harrington). Fig. 33.—Syphilitic deformity (same case as Fig. 32). Symptoms.—Pain, swelling, crepitus, and deformity are usu-ally present. The subcutaneous swelling is often so considerableas to obscure deformity. Gentle pressure is often sufficient todetect crepitus in this fracture, when a firm grasp determineslittle or nothing. Complications.—Through infection of the internal or theexternal wounds suppuration begins, abscesses form, and necrosisof bone and liquefaction of cartilage may occur. Emphysemamay be noticed if the fracture is open into the nasal cavity
The treatment of fractures . Harrington). Fig. 33.—Syphilitic deformity (same case as Fig. 32). Symptoms.—Pain, swelling, crepitus, and deformity are usu-ally present. The subcutaneous swelling is often so considerableas to obscure deformity. Gentle pressure is often sufficient todetect crepitus in this fracture, when a firm grasp determineslittle or nothing. Complications.—Through infection of the internal or theexternal wounds suppuration begins, abscesses form, and necrosisof bone and liquefaction of cartilage may occur. Emphysemamay be noticed if the fracture is open into the nasal cavity (see THE NASAL SEPTUM IN FRACTURE OF THE NOSE 47 Fig. 34). It will disappear after a few days untreated. Thelachrymal duct may be obstructed if the nasal process of thesuperior maxillary bone is involved. The nasal bone may beforced up into the floor of the anterior fossa of the skull, andcerebral complications arise (see Fig. 16). If the deformity fol-lowing fracture of the nasal bones is not corrected, there is great. Fig. 34.—Case of open fracture of the nasal bones. Emphysema over the forehead and the upper part of the face. likelihood of trouble, either immediately or in after years, becauseof damage to the nasal septum. The Nasal Septum in Fracture of the Nose (see Figs. 35,3^, 37» 38, 39)-—The starting of the quadrilateral cartilage ofthe septum at some of its bony attachments may be evident atonce after the fracture of the nose as a marked dislocation, or nochange may be seen until long afterward, when a ridge due toinflammatory thickening is found along the previously loosened 48 FRACTURES OF THE BONES OF THE FACE border. The septum may be dislocated from its attachment tothe superior maxilla, and deviate into one nostril or the other likea curtain. The commonest dislocation occurs at the junction ofthe cartilage of the septum with the vomer and the ethmoid. Lesions of the septum due to fracture occur usually in the pos-terior two-thirds of the cartilaginous
Size: 1302px × 1918px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1900, booksubjectfractur, bookyear1901
