This operation, so far as I know, is new; at least, I find no example of it among the works of reference at present accessible to me, and it is of importance as showing that for plastic operations on the side of the face one may use the shoulder freely as a source of flaps.
Case 11,707, Andrew's Surgical Record, May 18, 1882.—The patient was a young woman about twenty-two years of age. During the previous year she had received the discharge of a shot-gun close to her face, passing obliquely from the front backward and outward. The right cheek, from the angle of the mouth backward nearly to the ear, was torn away, stripping the jaws down to the periosteum. The teeth were not injured, but a few scales of bone afterwards exfoliated from the side of the body of the lower jaw. The masster muscle was injured, but