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CKOWN- AND 1?RII)('.I^-\\()RK. 1 93

freely movable. This loose bone and tbe teeth had been
renioN'ed, and tlie case had been in a surgeon's hands for
six weeks, when he was brongiit to Dr. Patterson present-
ing" the following condition.
The ontside w^onnds had healed with considerable cicatri-
cial tissne; the left fragment of the maxilla was easily-
movable, and an abscess was discharging freely upon the
face opposite the loose end with another abscess opening
under the chin ; the left side of the jaw was much firmer
than the right, but had healed far inside—about a half-inch
from the normal position. There was still considerable
swelling', and small spiculas of bone frecjuently made their
way to the surface.
The first treatment instituted, as described by Dr. Patter-
son, is as follow^s : " I found that a bridge-splint placed
upon the parts as presented would result in retaining the
incorrect position of the left side, and that pressure brought
to bear or force the pieces apart would result in still greater
deformity, because the more easily movable right fragment
would give w^ay, leaving the left in its former position. The
first step then was, if possible, to remedy the distorted posi-
tion of the left side. I proceeded as folloAvs : I banded the
first lower molar upon the right side and also the first upper
molar upon the same side, attaching lugs to the bands for
the reception of a screw, and firmly screwed them together.
I then placed a jack-screw upon these molars on the palatal
side and against the molar on the left side, and forced that
side into its correct position, which had been determined
by models beforehand. I then banded the upper and lower
teeth upon this side as upon the other, and screwed them
firmly together.
"
I then dismissed the patient for ten \veeks, the inten-
tion being to overcome the growth of cicatricial tissue which
forced the left side against the tongue. I believed the
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