F——, R. J.a machine readable transcriptionSusan C. LawrenceKenneth M. PriceKenneth J. Winkle2011med.d1e17886Civil War WashingtonUniversity of Nebraska–LincolnCenter for Digital Research in the
Humanities319 Love LibraryUniversity of Nebraska–LincolnLincoln, NE 68588-4100cdrh@unlnotes.unl.edu2011
The following are responsible for particular readings or for changes to
this file, as noted:
Kenneth M. PriceAJ HowellMatthew BosleyElizabeth LorangStacey BerryElisabeth TraceyThe Medical and Surgical History of the War of the Rebellion.
(1861–65.)Surgeon General Joseph K. Barnes, United
States ArmyWashington, D.C.Government Printing
OfficePart 1Volume 21870349Medical and Surgical History of the War of the Rebellionwounds and injuries of the facegunshot wounds of the facegunshot fractures of the facial bonesfractures involving upper and lower maxillæsecondary hæmorrhagehæmorrhage from trunk of internal maxillary arteryfractures of both the upper and lower jawsfracture of upper maxillafracture of lower maxillaautopsyball entered ala of nostril, split ramus of inferior maxilla, emerged in front of
and below pinna of earblessedadded figure encodingadditional proofing of transcription and encodingcase text extracted and transformed from larger
fileenriched encodingvalidated fileencodedinitial checking of OCR text against PDF; encoded
CASE.—>Corporal R. J.
F——, Co. F, 60th New York Volunteers,
aged 22 years, was wounded at the battle of Fredericksburg, May 3d, 1863, by a
conoidal ball, which fractured the superior and inferior maxilla. The ball entered the ala
of the nostril, and passed downward and backward, splitting the ramus of the inferior
maxilla, and emerged by two openings in front and below the pinna of the right ear. The
superior maxilla of right side was destroyed, and the right portion of the inferior
fractured and comminuted, and fissures running into the orbital process. He was, on May 7th, admitted to Carver Hospital, Washington. Cold water dressings and bandages were applied.
Slight hæmorrhage from the internal maxillary artery occurred at ten and eleven o'clock
P. M., May 9th, which yielded to compression;
it again recurred profusely at twelve o'clock, amounting to about fifty fluid ounces of
blood; attempts at compression of the carotid artery were unsuccessful, the patient being
unmanageable from fear; during the remainder of the night and the day following, he was kept
in a sitting posture, and ice retained in his mouth, and strictly forbidden to speak. At two
o'clock P. M. on the 11th, his pulse being on
the increase, six drops of the tincture of aconite was ordered. The hæmorrhage returned
in the evening, the patient became frantic with alarm, and prevented all attempts at
compression. He died immediately. The autopsy
revealed great comminution of the superior and inferior maxilla, and that the
hæmorrhage proceeded from the trunk of the internal maxillary artery. The specimen is
figured in the wood-cut. The case is reported by Acting Assistant
Surgeon E. F. Bates.