AMPUTATION OF THE EAR. 



757 



Partial amputation may be performed with, the patient in 

 any posture, and may be considerably simplified by using Brog- 



Figs. 552, 553.— Brognlez Apparatus for Amputation 

 of the Ear. 



Fig. 554.— Apparatus of Brog- 

 niez in Position. 



niez's apparatus. This consists of a wooden model of the inside 

 of the cartilage (Fig. 552), and of metallic en- 

 velopes or patterns of the outside (Fig. 553) of 

 which there should be separate ones for each 

 ear. Both the wooden model and the metallic 

 pattern are held in place by a systematic screw 

 (or wood screw) like those usen by cabinet-ma- 

 kers in gluing wooden joints together. The ap- 

 paratus is adjusted as shown in Fig. 554, and 

 the excision of the protruding cartilage is made 

 with the bistoury. 



Amputation with the nippers of Garsault 

 (Fig. 555), or that with the bistoury do not give 

 equally satisfactory results. 



Comjilete amputation, according to Peuch 

 and Toussaint, is best performed with the ani- 

 mal under complete anesthesia. We have had 

 opportunities of operating without it, but it 

 cannot be questioned that it furnishes power- 

 ful assistance, when it becomes necessary to 

 keep the head in place, as in this case. ^'^- ^^a^sS^""' °' 



