Injuries and diseases of the jaws : the Jacksonian prize essay of the Royal College of Surgeons of England, 1867 / by Christopher Heath.

  • Christopher Heath
Date:
1884
Catalogue details

Licence: Public Domain Mark

Credit: Injuries and diseases of the jaws : the Jacksonian prize essay of the Royal College of Surgeons of England, 1867 / by Christopher Heath. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    St Bartholomews ITosjntal possesses one specimen of frac- ture of the lower jaM^ (i. 897), showing a fracture on the right side, which extends obliquely through the bone between the canine and bicuspid teeth and passes through the mental foramen. St. Thomas's Hospital has one recent and moist specimen (27)—'^A comminuted fracture of the lower jaw. The bone is fractured near the symphysis and near to both angles, so as to expose the nascent pulps of the last molar teeth. The inferior maxillary nerves are not lacerated. Guys Hospital has only one specimen (1091,')—A lower jaw having a doubtful fracture (united) on the left side at the angle. King's College Musetim is very rich in recent fractures, having no fewer than four. 1. A fracture between the incisor teeth, running obliquely to the left at the expense of the external plate of the left segment. The right coronoid process is broken off obliquely downwards from the sigmoid notch, and the necks of both condyles are fractured obliquely. This is the preparation figured by Sir William Fergusson in his Practical Surgery, p. 521, and was taken by him from a patient who f,ell from a great height, and received fatal injuries. (Fig. 3.) [This preparation corresponds very closely to that described by M. Houzelot, where, in consequence of a fall from a height, there were produced fractures of the symphysis, of both condyles, and of hoth coronoid processes. (Malgaigne, p. 323.)] 2. Is an example of double fracture of the body of the jaw. On the right side the fracture runs between the lateral incisor and the canine tooth obliquely backwards, at the expense of the external plate of the posterior fragment. On the left side the fracture extends from the posterior socket of the third molar tooth (which was broken at the time, leaving the anterior fang in situ), obliquely backwards, at the expense of the outer plate of the anterior fragment. This was from a man who was struck on the jaw with the fist, and died of dcliriuni tremens in King's College Hospital