The skull-cap must be securely fastened in its normal position, so
that no slipping can occur. If the body is not to be shipped any
distance the posterior interlocking joint will usually hold it firmly
in place if the scalp is drawn tightly together and closely stitched.
When the body is to be moved some distance, the skull-cap must be
more firmly fastened. This can be accomplished by drilling holes at
the sides of the saw-cut and fastening the skull-cap to the cranium
by means of copper wire, which must be tightly twisted and pressed
flat against the bone. When this is done in the temporal region the
wire is completely concealed by the temporal muscles when these are
drawn up with the scalp, or if these have been cut away pads of
cotton can be put in their place. The cranial fossæ and the skull-cap
may be filled with plaster-of-Paris; while this is still soft a piece
of wood may be pushed through into the foramen magnum and allowed to
project high enough above the saw-cut to hold the skull-cap on, when
it, filled with plaster, is put in position. With the setting of the
plaster the skull-cap is firmly held. A little ingenuity will suffice
to improvise various other methods of securing the skull-cap, by the
use of bandages, metal pins, etc. After the employment of Harke’s
method the halves of the skull must be brought together and securely
fastened at the base or in the occipital region. After resection of
the temporal bone for the examination of the auditory apparatus the
defect must be filled in with cotton or other substance, and the
lower jaw and external ear restored to their normal positions. After
examination of the orbit and the removal of the posterior half of
the eye-ball a wad of red- or black-stained cotton should be used to
fill out the eye so that it will have the same degree of fullness
that the other eye has. When the eye is enucleated a glass-eye may
be substituted and the lids fastened together by fine stitches made
on the conjunctival side. If it is desired to save the skull-cap an
artificial skull-cap may be molded from a square piece of pulp-board
of the thickness of 0.5 cm. in the case of the adult, somewhat
thinner for children. The pasteboard is soaked in warm water for
about fifteen minutes, and is then molded over the skull-cap. It is
then cut parallel with the edges of the saw-cuts so that the edge of
the board will extend about 1 to 1.5 centimetres over the edges of
the skull-cap to overlap the bones below the saw-cut. The cranial
cavity is then filled with plaster or cotton. The pasteboard is
removed from the skull-cap before it becomes too dry for its lower
edge to be adapted easily to the lower border of the saw-cut. Ridges
or folds are trimmed off with the knife and the surface made smooth.
It is then adjusted and firmly fastened in position by passing
several turns of strong twine around the lower border over-lapping
the cranial bones. The temporal muscles and the scalp-flaps are then
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