THOMPSON BROS., Have Marked to Sell Good three piece Bed Room Suits, Good three piece Bed Room Suits, little better, Parlor Suits, Side Boards, Hall Racks, Book Cases, Rocking Chairs,. 626 Kansas avenue $14 00 17.00 19.00 25 00 $26 00 up to $175 22 00 up to 75 the City. We do a All Furniture care The Finest, Freshest and Best Selected Stock in DOCTORS! We will send you the KANSAS MEDICAL JOURNAL for one year and one of those elegant visiting lists for $2 50, or the JOURNAL for $2 00 and we will give you a discount of fifty cents on any book or instrument you may desire in place of the visting list. THE MUSCLE BEATER A simple, efficient, and cheap instrument for securing the effects of manipulation The beneficial effects of manipulation are now universally conceded by the medical profession. Heretofore the necessity of having skilled manipulators has rendered impracticable the general use of this valuable means of improving the circulation and the local and general nutrition: By the MUSCLE BEATER, however, any one can himself obtain the beneficial results accomplished by manipulation; the physician gaining doubie results, not only producing a stronger action to the parts which are struck, but also improving the patient's mind, by his own treatment, which may be directed to suit the case. The following indorsements are given : "MR. JOHN E. RUEBSAM.-DEAR SIR: I am in the habit of prescribing your 'Muscle Beaters' in suitable cases, and with excellent success. It is an important adjunct in Massage Treatment. Yours respectfully. D. HAYES AGNEW, M. D. "PHILADELPHIA, November 5, 1886. " "MR. JOHN E. RUEBSAM.-DEAR SIR: 1 have recommended your Muscle Beaters' to several of my patients. I consider them an ingenious and very valuable addition to the list of therapeutic agents for the Treatment of Atrophy and Paralysis. Yours respectfully, THE Kansas Medical College. OF TOPEKA, Will begin its first Annual Session September 23, 1890, and continue six months. FACULTY JOHN E. MINNEY A. M., M. D., Professor of Ophthalmology and Otology. The regular course will begin September 23rd 1890 and will continue six months. Clinics will be given regularly in Christ's Hospital and in the Dispensary. - Laboratory work in Chemistry, Physiology, Histology and Bacteriology will be required and will be a special feature of the course. For futher information apply to JOHN E. MINNEY, A. M., M. D., Dean. M. B. WARD, M. D., Secretary, 209 East Seventh Street. The only Agents in Topeka for the Celebrated Foster BUGGY and POCKET CASES, Kid Gloves.. Visit our Cloak Department where we are showing the late style in Fall Winter wraps. WIGGIN, CROSBY & CO., 613 & 615, Kansas avenue. To write to the PHYSICIANS' SUPPLY CO., 918 Wyandotte street, KANSAS CITY, J. D. PORTER, President. MISSOURI. 1973 Kansas Medical Journal. FRACTURE OF THE SUPERIOR MAXILLAE, IN- outer border of the right superior maxilla, VOLVING THE RIGHT ANTRUM. Read before the Academy of Medicine and Sur- BY C. A. M'GUIRE, M. D., OF TOPEKA, KAS. diagonally up and inward across the body of the bone, between the alveolar and malar processes, through the right antrum to the nasal cavity above the right palate process, obliquely down and across, fracturing the left palate process through its posterior half, and September 19, 1889, Mr. Thos. F. Irish, obliquely down and out through the left maxaged 28, a conductor of the Rapid Transit illa between the first and second molar teeth, railway company, while standing in a stooped leaving the lower portion of the superior maxposition on top of a car adjusting the spring illae freely movable, and dropped as beforementioned one-half to three-quarters of an inch more marked on the right side, and of the trolley arm, which makes the connect- a crushing blow across the face on the right pressed slightly backward and to the left. upper lip by this spring, which is extremely Manipulation of the parts caused pain at the powerful, flying out of its position. The blow was of such force that it would have knocked FIGURE I. inner angle of the right eye, otherwise he time the patient was fully conscious, but was complained of but little pain. During this suffering slightly from shock, with a slow pulse and a strong inclination to sleep, and frequently asked to be let alone. The swelling about the mouth and lips was so great that the patient was unable to take and through that he took another dose of any nourishment except through a glass tube, stimulants, and was then removed to the hospital where he was made comfortable, and the possible by the fingers. No bandage was apdisplaced fragments were adjusted as well as plied, nor any attempt made to use the lower jaw as a retaining splint, because the hemorrhage was still so profuse that the patient was compelled to keep the mouth open for drain- tained an impression of the upper and lower age, and to expectorate the blood. jaws with moulding compound, a substance I ordered a hot solution of boracic acid as a that softens in hot water, and is used by dental surgeons for such purposes. FIGURE II. wash for the mouth, and anterior and posterior nares, and compresses of distilled extract of hamamelis applied externally. September 20. The right eye lids were entirely closed, and left eye lids nearly closed by the swelling, and both eyes and the right side of the face were of a purple hue. The patient was suffering but little pain; pulse slightly accelerated; temperature 99%1⁄2°. The hæmorrhage was still quite profuse. Patient was able to take sufficient milk and whisky through a tube. September 21 and 22. Condition and treatment of the patient was much the same, but the hæmorrhage was gradually growing less, and pulse and temperature were normal. September 23. Dr. W. A. McCarter, a dental surgeon of this city, was called in consultation, and we decided to continue the same plan of treatment until the swelling of the parts had subsided sufficiently to make an impression of the mouth, and then apply an interdental splint with external support. In the following five days the patient was able to take fluid nourishment without the aid 3 16 He made a hard rubber plate from this cast of the upper jaw with square steel wires, of an inch thick, fitted into square sockets at each side of the plate external to the teeth, so as to come out at the angles of the mouth, curving back and passing horizontally along the sides of the face for about 21⁄2 to 3 inches. This plate, (Fig. I.) was adjusted September 30, and retained in position by bandages applied in the manner indicated in Fig. II. This plate, by the tension of the bandages, gradually pressed up the displaced parts to their proper position, elevating them one-half to three-quarters of an inch from their position before the adjustment of the plate; and, as a result of this elevation, it was necessary from time to time to adjust, curve and mould the steel wires to fit the angles of the mouth, as indicated in Figs. I. and II., by the peculiar curvatures of the wires in the plate. The patient complained slightly for the first few days owing to the pressure of the plate, which caused some tenderness of the teeth, and some pain below the inner angle of the FIGURE III. of the glass tube, and the swelling of the parts right eye, which is, I believe, a common ocsubsided so that September 28 the doctor ob-currence in such cases. |