Injuries of the Eyes Nose Throat And Ears

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Cases are, however, seen in which with paralysis of a vocal cord the projectile has taken a course quite away from this nerve, in which case we have to think WOUNDS OF THE THROAT 105 of a lesion of the pneumogastric, or it may be of the spinal accessory, as, for instance, if the route of the projectile has been obviously above the level of the thyroid cartilage.
The following case is one of the rare instances in which the bullet has apparently injured the vagus nerve ; for it we are indebted to
... Sir Anthony Bowlby.
' W. S. , private in the Coldstream Guards, was hit while in the prone position at Magersfontein. The bullet (Mauser) entered the right orbit and destroyed the eye. It then traversed the superior maxilla and entered the mouth through the soft palate, and after- wards passing out of the pharynx below the tonsil, emerging from the neck just behind the posterior border of the sterno-mastoid muscle, to re-enter the neck above the clavicle, which it smashed, and then passed away.


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