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 . ext comes the relief of surgicalshock. Then the removal of foreign bodies, and the eliminationof contaminating contacts should be undertaken. Every reason-able effort should be made to clean the injured tissues and removefrom them the imbedded missiles, or portions of clothing, wood,wire, stones, or mud. The aid of Roentgen rays should beobtained to
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 . ext comes the relief of surgicalshock. Then the removal of foreign bodies, and the eliminationof contaminating contacts should be undertaken. Every reason-able effort should be made to clean the injured tissues and removefrom them the imbedded missiles, or portions of clothing, wood,wire, stones, or mud. The aid of Roentgen rays should beobtained to locate pieces of metal buried in the depths of the cleansing procedure should be thorough and, when practica-ble, it should be carried out early. By early is meant before thestage of contamination has had time to become the stage ofinfection. This is probably within the three or six hours imme- 74 WAR SURGERY OF THE FACE. diately following the traumatic insult to the tissues. Devitalizedsoft tissues should be almost ruthlessly cut away with asepticinstruments and hands. Structures suspected of being likely tofurnish pabulum for micro-organisms should be excised to a degreeless, perhaps, than that demanded in wounds of the trunk or. Fie. 41.— War wound of mouth and chin, with portionof mandible carried awav. (Courtesy of Dr. H. W. Scarlett.) limbs; but much more extensively than is usual in the facialinjuries of civil life. The endeavor is to obtain an aseptic or arelatively aseptic surface for immediateate suturing. The theory at the bottom of this method of dealing with openwounds is prevention of septic dangers and the prolonged con-valescence incident to the admission of pyogenic and other organ- WAR WOUNDS OF THE FACE AND THEIR TREATMENT. 75 isms. Should these find culture media in bruised, lacerated, andfluid-logged structures they will multiply and produce their spe-cific biologic poisons, causing gas gangrene, tetanus or suppura-tion. Their eradication assumes
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
