FRACTURE. 
letice of the blow has been fuch as not to have Fea {pent 
itfelf on the fracture, but to have: extended to e ctibriform 
eee be le with facility. 
The treatment of a cafe confifts in replacing the de- 
ranged pieces of bone, by means of a probe, or any other 
fuitable inftrument, ee ee up the noftril. Thus the 
ps aa nts may be moved as far outward as neceflary, while 
ured at once, and ihe broke 
ba ape. When the feptum nafi is thrown out of 
its due pofition, it muft be re€tified with any convenient in- 
ftrument, care being taken not to pafs fuch inftrument too 
far, or forcibly, upward, for fear a injuri ing the delicate 
ae ate lamella of the.os ethmoi 
d the lane of the: Gen ‘be interrupted — the 
patient’s | fneezing will be neceflary to wait a little before 
repeating the atte 
When the Gaede is — with a wound of the 
of bone are fo fee as ae 
they ought to be extracted 
e irritation as poffible. 
When the fracture is bark, and not at all difplaced, ae 
treatment. is limited to general means for averting and dim 
a inflammation. 
ances, in whi ch the pieces of bone flip out. 
other init 
of es right pofition, the. fragments fhould be fupported 
with a bit of hollow w bougie, saa eaiel bilan lint and intro- 
duced up the noftril. Writers alfo mmend, for 
fame purpofe, a piece of qu vill cut a. at each end and 
wrapt round with, agaric, which, they fay, tends to chéck, 
the troublefome rei g 
This latter 
much cert 
therefore to be p 
ollow eal of oe 
alfo preferable to the aerials fingers, which the fame au- 
of initan Foreftus imi- 
e C . of cannule, on 
the ground shat they both senna  refpiration, and aide a 
in keeping the parts from falling inw 
The fragments of the fracture having been replaced, linen 
wet with the faturnine lotion fhould be applied, a 
preffes laid on i fide of the face, in the hollow 
the cheeks and the nofe. Thefe 7 9 ata are to be ke ept 
in their lpi rises: with a roller 
A which breaks the hee sal may are = a 
the pier a lamella and th alli oe e os ethmoi- 
des, fo as to occafion a La erous degree 
. When the 
_ downward, w 
ward an 
os a srw their means, could then be pulled 
- dow fo 
OF vaétures of the lower Jaw.” 
Att yay h the lower jaw-bone is moveable, ee, 
capable of ‘yielding te fuch force as is likely to injure it,” 
and notwit thitandin eo is mare mitly ring mpact to m: ake onfi- 
derable refiftance, yet ne 1 
broken, 
' The fraéture may be pail Sher in its ody or its 
branches, and be difplaced or not. It is principally when 
ution of continuity happens near the pofterior. So 
that neither of the broken furfaces is thrown out of its d 
pofition; for in this cafe, the pterygoid, ew aa and 
mafleter rmufeles keep up the back part | = the bon 
a finger in 
which a ceder is fufpected, a 
fam en ure is now eal; made with each 
aaa. the furfaces as aa fra€ture will.move, and often oc- 
cafion a diftin & ¢ pitus. | ‘The diagnofis is much m 
, for if the body of pe 
b mad alls downward, the- 
mouth is found wide open, and drawn to one fide in-fuch a 
the front ones. 
other, the mouth 
ead of being aranged in the fame tine, 
will - pee iplaced ei others outward. 
The generality of fractures of the je jaw are attended with 
a confiderable degree of frelling and ecchymofis. In con- 
fequence of the contufion and laceration which the - fof 
parts fuftain, very bad fymptoms fometimes arife. 
rtain inftances, either paralyfis, or a convulfive affec- 
heek of the fam cage is induced, by the injury 
in the ach speielieg a 
has numerous communications ‘with the portio dura of the: 
paired; 
ophthalmy excited; a aor “aifcharge 0 
mouth brought on; and convulfive motions of the lips pro- 
duced. 
he fra Cure is fometimes las fometimes. not. 
k 
the r cafe, it y to keep the injured bone 
well Tepes bat t : a {uperius, by appl; 
a com efs re) he acc cide nt has occurred, 
and ap~ 
while thie cexiremiis, of 
Thi s banda age, which is.one of the beft wed | in ee 
and celebrated ee ‘its.antiquity, is.defcribed.in. another: bart 
oe is w 
GE 
i 
tee th, and the thumb u nder t 
