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Updated: May 25, 2025
This may be seen in an engraving in Dr. Pritchard's work. I have before described the teeth, and mentioned the remarkable junction of the temporal and parietal bones at the coronal suture, and consequently the complete separation of the sphenoid from the parietal, which in European skulls meet for the space of nearly half an inch.
This question is one of great interest as, in recent years, there has been constant agitation of the possibility of surgical procedures in cardiac as well as cerebral injuries. Del Vecchio has reported a series of experiments on dogs with the conclusion that in case of wounds in human beings suture of the heart is a possible operation.
The purging of the brain was a serious business; it was to be compassed by an application to the coronal suture of an ointment made of Greek pitch, ship's tar, white mustard, euphorbium, and honey of anathardus: the compound to be sharpened, if necessary, by the addition of blister fly, or rendered less searching by leaving out the euphorbium and mustard.
Width of the frontal from the middle of the temporal line on one side to the same point on the opposite...104 = 4.1" 4.5". Length of the frontal from the nasal. process to the coronal suture...133 = 5.25" 5". Extreme width of the frontal sinuses...25 = 1.0" 0.9". Vertical height above a line joining the deepest notches in the squamous border of the parietals...70 = 2.75".
It is essential that the ends should be sutured to each other, and as the proximal end is retracted the original wound may require to be enlarged in an upward direction. When primary suture has been omitted, or has failed in consequence of suppuration, the separated ends of the tendon become adherent to adjacent structures, and the function of the associated muscle is impaired or lost.
"The most remarkable feature of the head is a high ridge, or crest of hair, in the course of the sagittal suture, which meets posteriorily with a transverse ridge of the same, but less prominent, running round from the back of one ear to the other.
A portion of the liver was protruding, and a piece weighing 1 1/4 ounces was removed, complete recovery following. Postempski mentions a case of suture of the liver after a stab-wound. Six sutures of chromicized cat-gut were carefully tightened and fastened with a single loop. The patient left his bed on the sixth day and completely recovered. Gann reports a case of harpoon-wound of the liver.
If the wound heals so that the chyle is prevented from escaping, a fluctuating swelling may form beneath the scar; in course of time it gradually disappears. An attempt should be made to close the wound in the duct by means of a fine suture; failing this, the duct must be occluded by a ligature as if it were a bleeding artery.
"The hair was clipped from the head, and an incision carried immediately from between the eye-brows to the back part of the skull, in the direction of the sagittal suture. Another incision was made from this towards the root of the ear. This triangular flap was then turned back, in order to remove the coagulated blood and make a thorough exposure of the skull.
The summit of the head rises in a longitudinal ridge in the direction of the sagittal suture; so that from the sagittal suture to that portion of the cranium where the diameter is greatest the head slopes like the roof of a house.
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