everal places, and only a few muscular
fibers of the temporal were left on each side. Hemorrhage was profuse
from the temporal, occipital, and posterior auricular arteries, which
were tied. The patient was seen three-quarters of an hour after the
injury, and the mangled scalp was thoroughly washed in warm carbolized
water, and stitched back in position, after the hair was cut from the
outer surface. Six weeks after the injury suppuration was still free,
and skin-grafting was commenced. In all, 4800 grafts were used, the
patient supplying at different times 1800 small grafts. Her own skin
invariably did better than foreign grafts. In ten months she had almost
completely recovered, and sight and hearing had returned. Figure 191
shows the extent of the injury, and the ultimate results of the
treatment.

Schaeffer also reports the case of a woman working in a button factory
at Union City, Conn., in 1871, who placed her head under a swiftly
turning shaft to pick up a button, when her hair caught in the shaft,
taking off her scalp from the nape of the neck to the eyebrows. The
scalp was cleansed by her physician, Dr. Bartlett, and placed on her
head about two hours after the accident, but it did not stay in
position. Then the head was covered twice by skin-grafts, but each time
the grafts were lost; but the third time a successful grafting was
performed and she was enabled to work after a period of two years. The
same authority also quotes Wilson and Way of Bristol, Conn., in an
account of a complete avulsion of the scalp, together with tearing of
the eyelid and ear. The result of the skin-grafting was not given.
Powell of Chicago gives an account of a girl of nineteen who lost her
scalp while working in the Elgin Watch Factory at Elgin, Illinois. The
wound extended across the forehead above the eyebrows, but the ears
were untouched. Skin-grafting was tried in this case but with no
result, and the woman afterward lost an eye by exposure, from
retraction of the eyelid.

In some cases extensive wounds of the scalp heal without artificial aid
by simply cicatrizing over. Gross mentions such a case in a young lady,
who, in 1869, lost her scalp in a factory. There is reported an
account of a conductor on the Union Pacific Railroad, who, near
Cheyenne, in 1869, was scalped by Sioux Indians. He suffered an
elliptic wound, ten by eight cm., a portion of the outer table of the
cranium being removed, yet the wound healed over.

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