r whole scalp. A triangular portion of
the skin was hanging over her face, the apex of the triangle containing
short hair, from which the long hair had been detached. Both ears were
hanging down the neck, having been detached above. The right pinna was
entire, and the upper half of the left pinna had disappeared. The whole
of the head and back of the neck was denuded of skin. One of the
temporal arteries was ligated, and the scalp cleansed and reapplied.
The hanging ears and the skin of the forehead were successfully
restored to their proper position. The patient had no bad symptoms and
little pain, and the shock was slight. Where the periosteum had
sloughed the bone was granulating, and at the time of the report
skin-grafting was shortly to be tried.

Schaeffer has presented quite an extensive article on scalp-injuries in
which grafting and transplantation has been used, and besides reporting
his own he mentions several other cases. One was that of a young lady
of twenty-four. While at work under a revolving shaft in a laundry the
wind blew her hair and it was caught in the shaft. The entire skull was
laid bare from the margin of the eyelids to the neck. The nasal bones
were uncovered and broken, exposing the superior nasal meatus. The skin
of the eyelids was removed from within three mm. of their edges. The
lower margin of the wound was traceable from the lower portion of the
left external process of the frontal bone, downward and backward below
the left ear (which was entirely removed), thence across the neck, five
cm. below the superior curved line of the occipital bone, and forward
through the lower one-third of the right auricle to the right external
angular process of the frontal bone and margin of the right upper
eyelid, across the lid, nose, and left eyelid, to the point of
commencement. Every vessel and nerve supplying the scalp was destroyed,
and the pericranium was torn off in three places, one of the denuded
spots measuring five by seven cm. and another five by six cm. The neck
flap of the wound fell away from the muscular structures beneath it,
exposing the trapezius muscle almost one-half the distance to the
shoulder blade. The right ear was torn across in its lower third, and
hung by the side of the neck by a piece of skin less than five mm.
wide. The exposed surface of the wound measured 40 cm. from before
back, and 34 cm. in width near the temporal portion. The cranial
sutures were distinctly seen in s