. Minor surgery and bandaging; including the treatment of fractures and dislocations, the ligation of arteries, amputations, excisions and resections, intestinal anastomosis, operations upon nerves and tendons, tracheotomy, intubation of the larynx, ; the teethof the lower jaw should be brought up in contact with FRACTURES OF THE LOWER JAW. 351 those of the upper jaw, and the jaws should be securedtogether by the application of a Bartons or a Gibsonsbandage (T^ig. 249). Interdental splints, made of cork,with grooves to fit the teeth, or of gutta-percha, are alsoemployed in the dressing o
. Minor surgery and bandaging; including the treatment of fractures and dislocations, the ligation of arteries, amputations, excisions and resections, intestinal anastomosis, operations upon nerves and tendons, tracheotomy, intubation of the larynx, ; the teethof the lower jaw should be brought up in contact with FRACTURES OF THE LOWER JAW. 351 those of the upper jaw, and the jaws should be securedtogether by the application of a Bartons or a Gibsonsbandage (T^ig. 249). Interdental splints, made of cork,with grooves to fit the teeth, or of gutta-percha, are alsoemployed in the dressing of these fractures. The patientshould not be allowed to move the jaw in mastication, andshould be nourished by liquid and semisolid food, whichmay be taken without removing any teeth to give spacefor its introduction. The bandage should be removedevery second or third day, and it should be reapplied inthe same manner. Union is usually firm at the end offour or five weeks, and dressings may be dispensed withat this time. Fractures of the Lower Jaw.—The lower jaw may bebroken at or near the symphysis, the most usual seat offracture being near the mental foramen ; it is often brokenat two places at once, and the fractures are in many cases Fig. Dressing for fracture of the lower jaw. rendered compound by laceration of the mucous mem-brane, or the injury may consist in a separation of a por-tion of the alveolar process of the bone. Treatment.—The dressing of a fracture of the lower 352 FRACTURES. jaw, after reducing the displacement and replacing anyloosened or detached teeth, consists in applying a pad oflint under the chin and bringing the jaw up against theupper jaw, holding the compress in place, and securing thejaws firmly in contact by applying a Bartons (Fig. 250),modified Bartons, or Gibsons bandage. The bandageshould be removed and reapplied at the end of the secondor third day, and at like intervals during the course oftreatment. The patient should be fed upon a
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1902
