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Updated: May 25, 2025
The bud may be examined by removing the scales with a knife, as in Horsechestnut, and also by cutting sections. The outer scales enfold the whole bud, and each succeeding pair cover all within. They are joined, and it is frequently difficult to tell where the suture is, though it can generally be traced at the apex of the bud. On the back is a thick stalk, which is the base of the leaf-stalk.
The transverse arc of the skull, measured from one auditory foramen to the other, across the middle of the sagittal suture, is about 13 inches. The sagittal suture itself is 5.5 inches long. Their principal elevation is disposed so obliquely that I judge them to be due to large frontal sinuses.
During all this time the man slept very little, only occasionally dozing. Donne describes an athletic laborer of twenty-five who received a wound from a rifle-ball penetrating the cranial parietes immediately in the posterior superior angle of the parietal bone, and a few lines from the lambdoid suture. The ball did not make egress, but passed posteriorly downward.
Except when infection occurs, the drain is removed in from one to four days and the opening closed with a Michel's clip or a suture.
As Pare did not understand Latin he wrote his treatises in French, thus inaugurating a custom in France that was begun by Paracelsus in Germany half a century before. He reintroduced the use of the ligature in controlling hemorrhage, introduced the "figure of eight" suture in the operation for hare-lip, improved many of the medico-legal doctrines, and advanced the practice of surgery generally.
To succeed in these operations, it is frequently necessary to cut through the false nostril. The edges of the wound may afterwards be united by a suture.
Primary suture should not be attempted so long as the wound shows signs of infection, as it is almost certain to end in failure. The ends should be sutured, however, as soon as the wound is aseptic or has healed. #Secondary Suture.# The term secondary suture is applied to the operation of stitching the ends of the divided nerve after the wound has healed. Results of Secondary Suture.
The depressions for the Pacchionian glands are deep and numerous; and there is an unusually deep vascular groove immediately behind the coronal suture, which, as it terminates in the foramen, no doubt transmitted a 'vena emissaria'. The course of the frontal suture is indicated externally by a slight ridge; and where it joins the coronal, this ridge rises into a small protuberance.
In a healthy baby this fontanel should be on a level with the bones of the head; a slight pulsation may be noticed in it, due to the pulsations of the vessels of the brain. There is a much smaller three-cornered fontanel at the back of the suture, and one behind either ear; these soon close up with bone. A new-born baby cannot probably do any more than distinguish light from darkness.
The treatment consists in enlarging the external wound to permit of the damaged vessel being ligated above and below the puncture. In some cases it may be possible to suture the opening in the vessel wall.
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