A report on the treatment of burns and scalds / drawn up at the request of the Provincial Medical and Surgical Association by Samuel Crompton.

  • Crompton, Samuel Willard.
Date:
1851
Catalogue details

Licence: Public Domain Mark

Credit: A report on the treatment of burns and scalds / drawn up at the request of the Provincial Medical and Surgical Association by Samuel Crompton. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    lip was raised to a level with the upper edge of the incisor teeth the wound gaptid to the width of an inch. Dry lint was applied to the wound. When suppuration was established the wound had become two inches in width, and the lip admitted of greater elevation than before. The chin was raised by a stay which, through the medium of a head band, had been kept tight by a strap which extended to the back of the head fi'om a belt which was placed round the waist. Subsequently position was relied upon rather than the apparatus; his head was allowed to sink into a hollow of the bed. The healing process advanced, and he was permitted to get up, when he wore a stiff stock. Finally, he was .discharged, very much improved in appearance, cured. E. P., female, aged 8 years. She was injured three years before she came to the hospital. She has a hardened and contracted cicatrix, which extends from the axilla to the first phalanx of the thumb. The principal con- tracting band is very thin, -with the exception of its edge, where it is thick and cord-like. The elbow cannot be extended beyond an angle of 75°, thus /, and the wrist is drawn laterally to an angle of 45°. Operation.—The cicatrix was dissected off, together with some deep-seated fibres, which were in contact with the fascia at the elbow and at the axilla, which restricted motion. The wound made extended one-third round the arm. The arm was extended to an angle of 45°, was dressed simply, and was placed upon a pillow. Subsequently extension was made at the time of each dressing, till the limb could be placed upon a straight splint. The wound healed progressively, and she was discharged relieved, after being in the hospital eleven months. Five months after she went home the wound was very small, and she could keep the limb straight for a day or two without the splint. John P., male, aged 7 years, was burnt four years ago. The lower lip, by the contraction from a burn, is usually everted and depressed, so as to cover the chin, yet the patient can, by dejiressing his chin and contracting the muscles of his lips, close his lips for a short period. The skin, which extends from the lower jaw to the neck, is soft and k loosely connected to the ])arts beneath. N ertical