. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. , so separated from their attachments as to have lost their vitality. Therebeing no purchase for the elevator, the trephine is applied at D, and the broken pieces ele-vated and picked away. 3. Two disks of bone cut by the trephine, showing the varying thick-ness of the skull. 4. Exfoliation of bone after use of the trephine. 5. Button removed by thetrephine, showing the two tables of the skull with diploe between. which was removed, and which should have been kep
. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. , so separated from their attachments as to have lost their vitality. Therebeing no purchase for the elevator, the trephine is applied at D, and the broken pieces ele-vated and picked away. 3. Two disks of bone cut by the trephine, showing the varying thick-ness of the skull. 4. Exfoliation of bone after use of the trephine. 5. Button removed by thetrephine, showing the two tables of the skull with diploe between. which was removed, and which should have been kept ina clean, warm, and moist place (vide supra), should beutilized for the closure of the defect; in other words, aspecies of osteoplasty may be practised. A little notch iscut, for drainage purposes, on the edge, at what will beits inferior margin when the patient is lying on his back ;it is then carefully replaced, the periosteum suturedabove it, and over this the scalp, as usual. ~If the opera-tion has been, as it should be, aseptic, this portion of 247 Nerve. REFERENCE HANDBOOK OF THE MEDICAL Fig. 408fi.—1. A Fractured Skull after the Application of the Trephineand the Removal of the Fragments. (After Charles Bell.) A, B, Theflaps of integument; C the cranium ; D, the dura mater exposed. might be better to use a very fine needle and fine braided , however, suture of a sinus wall is impracticable, anti-septic gauze may be packed in, or a piece of absolutelyiseptic sponge may be used as a compress and allowed toremain without attempting its subsequent should a single sinus become obliterated fromsuch treatment, no apprehension need be felt, asSchellmanns researches have shown (Uebev ter-letzunrpder Ilirnsinus). Injuries to the middlemeningeal artery and its large branches areby far the most common of vascular le-sions, and when distinct hemiplegia andsigns of compression, even withoutany external signs of fracture, makei
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectmedicine, bookyear188
