The Dental cosmos . la of the nose was torn freefrom the cheek; there were also laceratedwounds of the supra-orbital region andlower lip. The upper right central andlateral incisors and the two lower centralincisors were missing. There was alsobleeding from both ears, pointing to afracture of the base of the cranium, andnumerous contusions were noted over theback of the head and neck. There was no paralysis; the pulse wasslow and full, and the patient unable toarticulate; there was considerable hem-orrhage, and the man was in profoundshock. An operation was performed by shortly after
The Dental cosmos . la of the nose was torn freefrom the cheek; there were also laceratedwounds of the supra-orbital region andlower lip. The upper right central andlateral incisors and the two lower centralincisors were missing. There was alsobleeding from both ears, pointing to afracture of the base of the cranium, andnumerous contusions were noted over theback of the head and neck. There was no paralysis; the pulse wasslow and full, and the patient unable toarticulate; there was considerable hem-orrhage, and the man was in profoundshock. An operation was performed by shortly after admission. Theface was washed, the left posterior nares FIASCHI.—INJURY TO THE BONES OK THE PACE, ET( 2G3 was plugged, and traction was madethereon to draw the bones forward. Thewound under the left eve drained intothe nares. The mouth, nares, and eveswere thoroughly irrigated with salt solu-tion, and some fragments of the ethmoidbone were removed from inside the rubber tube wound around with plain Fig. gauze was placed in each nostril and drydressings were applied. The patient was seen not long after-ward, and on account of the pain, theextent of his injuries, and his poor con-dition, he was put under chloroform an-esthesia, in order that the cheeks mightbe widely retracted and impressions betaken of the upper and lower jaws. Fromthese impressions casts were obtained,and a rubber splint was made secundumartem, bringing the bite close togetherand embracing the teeth of both was adjusted the following day anda traction apparatus passing around thevertex and chin was applied so as to drawthe fractured bones well up in place, es-pecially the prolapsed left maxilla. He was delirious, off and on, for afew days following the accident, but left the hospital November 26, 1902, in animproved condition. The double-archsplint was worn for three and a halfweeks, when good consolidation of all thebones except of the fragments of themandible had occurred. A cap splint
Size: 1288px × 1939px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookauthor, bookcentury1900, bookdecade1900, booksubjectdentistry
