. Minor and operative surgery, including bandaging . n of the temporal 356 FRACTURES. muscle may interfere with the movements of the lowerjaw in mastication. This displacement is corrected bycutting down upon the fragment and elevating it or bypassing a tenaculum into the fragment and raising displacements may be corrected by pressure andthe application of a compress. Treatment.—The dressing of these fractures after thecorrection of the deformity consists in the application ofa compress of lint over the seat of fracture, held in posi-tion by strips of adhesive plaster or a bandage.
. Minor and operative surgery, including bandaging . n of the temporal 356 FRACTURES. muscle may interfere with the movements of the lowerjaw in mastication. This displacement is corrected bycutting down upon the fragment and elevating it or bypassing a tenaculum into the fragment and raising displacements may be corrected by pressure andthe application of a compress. Treatment.—The dressing of these fractures after thecorrection of the deformity consists in the application ofa compress of lint over the seat of fracture, held in posi-tion by strips of adhesive plaster or a bandage. There islittle tendency to recurrence of the deformity after it hasbeen corrected, and union at the seat of fracture is usuallyfirm at the end of three weeks. Fractures of the Upper Jaw.—These fractures mayinvolve the body, the nasal processes, or the alveolar proc-esses. Treatment.—The deformity should be corrected, and ifany teeth have been displaced they should be replaced;if there is comminution of the alveolus, the teeth in the Fig. Dressing for fracture of the upper jaw. separate fragments may be fastened together by fine wireto fix the fragments and hold them in place; the teethof the lower jaw should be brought up in contact with FRACTURES OF THE LOWER JAW. 357 those of the upper jaw, and the jaws should be securedtogether by the application of a Bartons or a Gibsonsbandage (Fig. 252). 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 j
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