. Injuries and diseases of the jaws : the Jacksonian prize essay of the Royal College of Surgeons of England, 1867. itwithin the buccal cavity. The drill was afterwards thrustbetween the fragments and turned about, so as to slightlylacerate the intermediate connecting tissue. A stout silverwire was then througli tliu perforations in the l)oue, THOMAS S WIRE-SUTURE. 39 from without inwards through the posterior fragment, andin the contrary direction through the anterior one; andtheir ends were tightly twisted together, so as to bring thefragment into secure apposition. By the 26th of Se
. Injuries and diseases of the jaws : the Jacksonian prize essay of the Royal College of Surgeons of England, 1867. itwithin the buccal cavity. The drill was afterwards thrustbetween the fragments and turned about, so as to slightlylacerate the intermediate connecting tissue. A stout silverwire was then througli tliu perforations in the l)oue, THOMAS S WIRE-SUTURE. 39 from without inwards through the posterior fragment, andin the contrary direction through the anterior one; andtheir ends were tightly twisted together, so as to bring thefragment into secure apposition. By the 26th of September good consolidation waseffected, and the suture, which had occasioned but littlesuppuration, was untwisted and removed. On the 15tli ofOctober the patient left the hospital, with the fistulousopening healed and a good use of the jaw.—AmericanJournal of Medical Sciences, July 1859. Mr. Hugh Thomas of Liverpool has recently advocatedthe use of the wire-suture in the treatment of recent frac-tures, and two of his illustrative cases, which had mostsatisfactory results, will be found hi the Lancet, January. 19th, 1867. This method has been more fully elucidated ina pamphlet, and consists either in drilling the fragments andpassing a copper wire, each end of which is then coiled upona key formed by a steel rod with a slit in it (fig. 17); or,in cases where the teeth are sound, in passing a loop of wirearound the teeth on each side of the fracture, and thentwiwSting it up with the key (fig. 18). The advantage of thismethod is that the wire can be tightened from time to time,as may be required during the treatment, without liabilityto breakage. I have employed it in a case of division of the 40 TREATMENT OF FRACTURED LOWER JAW. jaw for removal of the tongue, with advantage; and myfriend Mr. Eushton Parker of Liverpool speaks highly of Fig. 18.
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