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April 16, 1938


Author Affiliations


From the Department of Maxillo-Facial Surgery, Western Pennsylvania Hospital.

JAMA. 1938;110(16):1252-1254. doi:10.1001/jama.1938.02790160010003

Numerous methods and mechanical devices have been perfected for the treatment of fractures of the superior maxilla. This fact implies that each appliance does not readily adapt itself to the treatment of all types of maxillary fracture. As in the case of fractures elsewhere, the position of the fragments must be considered before a satisfactory method of reduction can be selected. Furthermore, under certain conditions perfect apposition of the fragments is demanded.

It is a noteworthy fact that a high percentage of fractures of the upper jaw are complicated by fracture of the skull through the anterior cranial fossa. Most of these fractures are compound, projecting through the nose, and nasal drainage of cerebrospinal fluid is usually present. Obviously, the first consideration is the possibility of injury to the brain, due either to laceration or to hemorrhage, and the second consideration is the potentiality of intracranial infection in the nature