When the jaw is dislocated on both sides, the treatment is the same.
The patients are less able to shut the mouth than in the former variety;
and the jaw protrudes farther in this case, but is not distorted;
the absence of distortion may be recognized by comparing the corresponding
rows of the teeth in the upper and lower jaws. In such cases reduction
should be performed as quickly as possible; the method of reduction
has been described[p. 230]
above. If not reduced, the patient's life will
be in danger from continual fevers, coma attended with stupor (for
these muscles, when disordered and stretched preternaturally, induce
coma); and there is usually diarrhea attended with billous, unmixed,
and scanty dejections; and the vomitings, if any, consist of pure
bile, and the patients commonly die on the tenth day.