The practice of surgery . in these cases is apossible extension of the infection through the cliploe to the men-inges. A curiously striking, shocking, and disfiguring injury to the head is acomplete scalping,—avulsion of the scalp,—an accident confined towomen almost entirely, and to factory women, because the long hair offactory women becomes caught in machinery which tears the scalp fromthe head. The great raw wound which results, in its outline followsalmost invariably the insertions of the occipitofrontalis muscle from eye-brows to occiput, and fioni ear to ear. The depth of the wound vari
The practice of surgery . in these cases is apossible extension of the infection through the cliploe to the men-inges. A curiously striking, shocking, and disfiguring injury to the head is acomplete scalping,—avulsion of the scalp,—an accident confined towomen almost entirely, and to factory women, because the long hair offactory women becomes caught in machinery which tears the scalp fromthe head. The great raw wound which results, in its outline followsalmost invariably the insertions of the occipitofrontalis muscle from eye-brows to occiput, and fioni ear to ear. The depth of the wound varies,depending upon the abundance and strength of the hair. The skin alone. Fig. 401.—Avulsion of the sralp (Massachusetts Gfucral Hospital). may be torn ofT, or all the soft parts maj be involved down to and in-cluding the periosteum. As Fowler points out, since these accidents happen to anemic andpoorly nourished women, as a rule, the surgeon should begin treatmentas soon as granulations have begun to form. The only treatment of anyservice is Thiersch grafting, over which the attendant must labor faith-fully until grafts sufficient to cover the entire head have been to it that the grafts be not destroyed by needlessly tight bandaging. TUMORS OF THE SCALP Tumors of the scalp are extremely common—especially benigntumors; and of these, wens are far the most frecjuent. Wens arc known TUMORS OF THE SCALP 017 as sebaceous cysts. They appear to be epidermal inclusions, and grosslyon dissection arc found as thin-skinned sacs filled with sebaceous are often multiple, develop in any part of the head, are movableunder the skin when not inflam
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
