Ars chirurgica a compendium of the theory and practice of chirurgery in seven books ... shewing the names, causes, signs, differences, prognosticks, and various intentions of curing all kinds of chirurgick diseases ... : to which is added Pharmacopoeia chirurgica, or, The medical store, Latin and English ... / by William Salmon ...

CHAP. XLVI. PARTS of the HEAD Supplied.

I. THAT Supply which is made of Flesh taken from a living Body, learnedly treated of by Gasper Taliacotius, the Bono∣nian Professor of Anatomy, is so difficult and painful, besides the necessary preparation for the Work, the Symptoms that fall out in the doing of it, and the danger that follows the least neglect; that it is seldom or never attempted in our Days: And therefore, by reason of the Difficulty and Unsuccessfulness thereof, we shall wholly preter∣mit it; referring those which are curious in that kind, to the Author himself.

II. However, Artificial Eyes, Nose, Palate, Teeth, &c. may be made to supply those Defects, of several other Materials; of which, Ambrose Parrey, lib. 23. cap. 1. ad 7. has spoken at large.

I. Of the Eyes.

III. If therefore, the Eye hap∣pen to be broken, or put out by any Violence or Inflammation, or if it waste or consume, by reason of a Consumption of its proper Sub∣stance, there can be no hope to restore the Sight or Function of the Eye; but you may cover the Deformity of the Eye so lost, by another Eye Artificially made of Gold, Silver or Glass, coun∣terfeited and Enamel'd, so as it may seem to have the Bright∣ness, Decency, and Life of the Natural Eye; which may be put into the place of the Eye so lost.

IV. If it cannot be worn, being put into the place, you must make a stiff Iron or Brass Wire, like unto Womens Ear Wires; which may be so formed, as to bind the Head harder or looser (as the Patient shall see reason) from the lower Part of the Head be∣hind, above the Ear, unto the greater Corner of the Eye.

V. This Wire ought to be cover∣ed with Silk, and made somewhat broad at both ends, lest that the sharpness thereof should hurt any part it comes to; but the end in which the Artificial Eye must be put, ought to be broader than the other, and covered with a thin piece of Leather, that up∣on it the Colours and liveliness of the Eye may be shadowed and Counterfeited.

II. Of the Nose.

VI. If the Nose be lost, it is requisite to make a Nose-Artificial of Gold, Silver, Tin, Paper, or Linnen Cloth glewed together; and it ought to be Coloured, Coun∣terfeited and made, both for Fashion, Figure and Bigness,

that it may as much as possible, resemble a natural Nose.

VII. This Artificial Nose must be stayed with little Threads or Strings, unto the hinder part of the Head, or a Cap upon the Head: And if any part of the upper Lip is lost with the Nose, you may shadow it with an Appendix to the Nose, and Counterfeit it according to Art, like the for∣mer.

III. Of the Ears.

VIII. The Ear is gone, either wholly or in part: If it be wholly wanting, another must be made of Paper Artificially glewed to∣gether; or else of Leather, which is much better, and so fastned with Laces from the top or hin∣der part of the Head, that it may stand in the appointed place.

IX. Or you may have an Arti∣ficial Ear made of Leather, and Counterfeited or Painted, so that it may resemble the Shape and Co∣lour of a Natural Ear; which may be retained in the place where it ought to stand, with a Steel or Brass Wire coming from the top, or hinder Part of the Head, as we have before spoken of the Eye.

X. If the Ear be only lost in part, it ought not to be neglected; but you must make many holes in the remaining part, with a Bodkin; and after that the holes are cica∣trized, or healed, let some con∣venient thing be artificially for∣med, like unto the part of the Ear lost, which being shadowed and Painted, let it be tied, or fastned, unto the remaining part by those holes.

IV. Of the Palate.

XI. If a part or portion of the Bone of the Palate being broken by any accident, is lost; or corroded, through the Virulency of the Pox, falls away (as is usual,) where∣by the Patients cannot easily pro∣nounce their words, but ob∣scurely, and with snuffling; this is to be remedied by an Artifi∣cial Palate, or a Plate filling the Vacancy in the Roof of the Mouth.

XII. It ought to be made of Gold or Silver, a little bigger than the Cavity it self is, as thick in the middle nearly as a Crown-piece, and in form like unto a Dish: On the upper side, which shall be towards the Head or Brain, a little Spunge must be fastned, which when it is moistned with the moisture distilling from the Head and Brain, will be swollen and puffed up, so that it will fill the Cavity of the Palate, that the Artificial one shall not fall down, but stand fast and firm, as if it stood of it self.

V. Of the Teeth.

XIII. If the fore Teeth are broken, or come forth of their places, causing a Deformity to the Mouth, or causing a Lisping, and hindring a right Pronounciation; other Teeth are Artificially made of Bone or Ivory, which may be put in the place of those which are wanting.

XIV. They must be joined fast one to another, and also so fastned unto the Natural Teeth adjoining,

which are whole; And this must be done with fine Gold or Silver Wire; or, for want of them, with a common well twisted Thread of Silk, throughly wax∣ed for strength sake.