Shrapnel—Plate 78.

HEAD.
Gunshot Fracture of the Mastoid Process.

Wound of entrance, upper posterior cheek, in front of the ear.

Wound of exit, posterior to mastoid process, lacerated.

The course of the missile was tangential, with the damage limited to the outer table of the mastoid. The metal particles scraped off of the ball by its contact with the bone mark the site of the wound.

Treatment is expectant.

Results are favorable.

Plate 79.