Richmond times-dispatch. [volume] (Richmond, Va.) 1914-current, 1916-08-06
Extraordinary Head Wounds
from Modern Missiles

The destruction OF the head bones, in Dr.
Mis's experience not due TO any expo
sive action OF the bullet because radial and
circular assures might be seen arising from the
wound of entrance as we'll as at the wound of
exit. a radial assure fracture is break
in the bone, radating, like the spokes of
wheel. from the centre, where the bullet has
entered and has left the skull. And circular
assures like those progressively extend
ing wavelet tops around the stone which you
have cast into the water.
In DR.. Mils's experiences, the fragments OF
bone so produced were dissipated far and wide
through transmission Of the bullets energy
TO the soft and most vital brain substance.
which Is in such wounding spread and herniaed
and stormed out through every assure.
In most Of those awful "side-swiping'' cases
one or both eyes are horribly injured.
Every clinic is furnishing its heavy quota
OF these pitiful cases. nearly all OF them young.
strong men, and nearly all so overwhelmed
by their terrible misfortune that they would,
and often do. accept any means OF suicide when
the fact of their blindness finally becomes an
assurance to them" says DR.. Mills.
Among the most common of the facial in
jures are those involving driving in OF the
bridge OF the nose, leaving the tip turned up,
with complete stopping of the deeper nasal
passages. The associated decorations. includ-
Ing often scars extending all over the face. pro-
duce an aspect of the utmost responsiveness
DR.. Morcstin. OF Bordeaux, has invented
original method OF operation for these nose
cases. The first step is the detachment OF the
remainder Of the nose from above downwards
b. a crosswisc horseshoe incision extending
nearly to the checks on each side. This forms
a flap attached below and containing the tip Of
the nose and the forward part of the nostrils
1t leaves raw surfaces around an orifce inside
of which the remains OF the nasal contents may
be traced among a mass Of debris and
tissue.
The passages OF the nose are cleared and the
open cavity stuffed with gauze to prevent read
hesion, In few days the gauze Is replaced
by india rubber tubes bands with leaden
weights attached, so to keep the flaps down
me next step is to implant in the forehead
piece OF cartilage removed from rib. When
ms mas taken root, a new nose is formed in
me regular manner by means of flap from the
iorcncad, In which is included the piece of
carthage Patients with this operation. in all
its various stages, were to be seen in the wards
or walking about the grounds
among the most striking cases under the
care Oh another specialist, Dr. Dubreuilh, are
those or extensive destruction of the lower
Jaw. similar to the one already described In
these the Disagreement is accompanied by
difficulty In chewing articulatng and digest
ing food. The sufferers are unable to take solid
food. incapable of intelligent utterance drib.
bling and dsfgured, and present most woeful
appearance. The extraordinary feature is that
IN spite of all they seem full Of the patient
chcerfuness and bnoyancy In the midst of their
trouble which Is characteristic OF the French
soldier.
Most cases Of fractured or defective jaw are
N.rayed photographed, modelled In plaster,
drawn and painted by workers IN military uni.
form The general plan is to patch up the lower
jaw In such manner to insure fitting with
the upper Jaw and thus secure the bite" A cast
is taken Of the upper jaw and then of the lower
one as whole, or often in parts. Metal collars
are ntted around the teeth and screw appa-
ratuscs are attached for pressing the fragments
OF the jaw apart if they press inward. or elias.
tics for drawing an outwardly displaced frag-
mcnt in toward the middle line Inclined planes,
formed of gilded metal, are often used with
the same object
In restoring missing nose there are three
general types of operations" The first. called