. The principles and practice of modern surgery . red parts, and replacedsuch teeth as may have been shaken or loosened, runs his finger along themargin of the jaw, models the parts to a proper shape, and closes themouth firmly, making the lower teeth press fairly against the upper. Thena cotton or linen compress of moderate thickness, reaching from the angleof the jaw nearly to the chin, is placed beneath and held by an assistant,while the surgeon takes a roller, four or five yards long and an inch anda half wide, and passes it by several successive turns under the jaw, upalong tlic sides of


. The principles and practice of modern surgery . red parts, and replacedsuch teeth as may have been shaken or loosened, runs his finger along themargin of the jaw, models the parts to a proper shape, and closes themouth firmly, making the lower teeth press fairly against the upper. Thena cotton or linen compress of moderate thickness, reaching from the angleof the jaw nearly to the chin, is placed beneath and held by an assistant,while the surgeon takes a roller, four or five yards long and an inch anda half wide, and passes it by several successive turns under the jaw, upalong tlic sides of the face and over the head ; now changing the courseof the ban(hige, he causes it to pass off at a right angle iVom the perpen-dicular cast, and to encircle the temple, occiput, and forehead horizontally ♦Lonsdnln on Fractiirps, Lniid. 1838. It consists of n proovcd plnte of ivory to fitthe tcctii, nnd u wnodcn plate adapted to tlio base of the Umw. These two plates urefastened toKelher by screws. Sec also Fcrgusson, op. cit. Jd edit. p. I FRACTURE OF THE CLAVICLE. 235 by several turns; finally, to render the whole more secure, several addi-tional horizontal turns are made around the back of the neck, under theear, along the base of the jaw, and over the point of the chin. To pre-vent the roller from slipping or changing its position, a short strip may besecured by a pin to the horizontal turn that encircles the forehead, andpassed backwards along the centre of the head as far as the neck, whereit must be tacked to the lower horizontal turn,—care being taken to insertpins at every point at which the roller has crossed. This simple methodof securing a fractured jaw I have practised very successfully for severalyears. (Fig. 40.) Fiff. 40. Fiff. 41.


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Keywords: ., bookcentury1800, booksubjectgeneralsurgery, booksubjectsurgery