The American Encyclopedia And Dictionary of Ophthalmology volume 7

Cover The American Encyclopedia And Dictionary of Ophthalmology volume 7
The American Encyclopedia And Dictionary of Ophthalmology volume 7
Casey a Casey Albert Wood
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Fractures without solution of continuity of the external skin or mucous lining of the walls of the sinuses or the dura mater of the cerebral cavity are generally simple fractures. The complicated frac- tures, which open up the sinuses, need no direct form of surgical interference. They are generally upwards and inwards, or inwards and downwards, and lead to infective processes from tearing of the mucous membrane lining the pneumatic sinus. Displaced bones forming the inner-upper walls cannot be
... replaced except by external incision, which may be made below the eye-brow and the bones repos- ited by periosteal probes and forceps. The bones of the inner wall and of the nasal processes may be replaced by manipulation (through the nasal passages) with the flat nasal probe and held in place by nasal tampons. The treatment is usually combined with that of fracture of the nasal bones.
Fracture of the zygoma may extend into, and a piece of bone pene- trate the maxillary antrum. This dislocation may be replaced by a forefinger of one hand in the patient's mouth, well behind the zygoma, and the splinter raised into place, the head being steadied by the operator's other hand.


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