A
considerable portion of the wound healed by adhesions, and the
patient was discharged, cured, in fifty-four days. No exfoliation
of bone occurred. Reverdin, a relative of the discoverer of
transplantation of skin, reported the case of a girl of
twenty-one whose entire scalp was detached by her hair being
caught in machinery, leaving a wound measuring 35 cm. from the
root of the nose to the nape of the neck, 28 cm. from one ear to
the other, and 57 cm. in circumference. Grafts from the rabbit
and dog failed, and the skin from the amputated stump of a boy
was employed, and the patient was able to leave the hospital in
seven months. Cowley speaks of a girl of fourteen whose hair was
caught in the revolving shaft of a steam-engine, which resulted
in the tearing off of her 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.
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