CHAPTEPw V. 



PARTICULAR FRACTURES. 



PHAOTURES OP INFERIOR MAXILLA FRACTURES OF ANTERIOR MAXILLA 



AND OF OTHER FACIAL BONES FRACTURES OF CRANIAL BONES 



FRACTURE BY "COUNTER STP^OKE" CONCUSSION OF THE BRAIN 



—HERNIA CEREBRI. 



fRACTURES OF THE INTEHIOR MAXILLARY BONE. 



1st. Compound fracture through the symphysis maxillaris, 

 resulting from an animal falling upon the mauth. The direction 

 of the fracture is longitudinal, involving the alveolar cavities of 

 one or more incisor teeth, and extending through and termina- 

 ting in the maxillary space ; or obliquely, from the centre out- 

 wards, through the neck of one br both rami. 



Treatment — Fracture through the Sipnphysis. — Remove loose 

 teeth and foreign bodies ; search for any loose pieces of bone, 

 and remove them. "WTien this is done, it will be found that 

 the fragments can easily be brought into apposition by a little 

 pressure, and so maintained by means of copper wire bound 

 firmly round the incisor teeth. If the animal be a male, the 

 tushes may be included in tlie wire. A calico bandage may 

 then be applied, for the purpose of furtlier strengthening the 

 parts, and keeping out foreign bodies from the wound. Let 

 the animal be kept upon soft but nutritious food ; the wound 

 looked to occasionally, and washed out \vith a solution of carbolic 

 acid to destroy the fcetor which is sure to be present. In the 

 course of three or four weeks the fracture will be found re- 

 united. 



If the practitioner suspects that any necrosed portion of bone 

 exists in the wound, he must search for and remove it. Its 

 presence may ba susnected by a foetid, purulent, sanious dis- 



