1. =Removal of Skull-Cap.= For the section of the head the cadaver
is placed upon its back with its head near the end of the table.
The head may be elevated by a block placed beneath the neck, or it
may be elevated and at the same time firmly held in position by
the use of a special head-rest, different varieties of which are
offered by instrument-makers. It is better to use the simple block
of wood and to control the position of the head with the hands
during the operation. The prosector takes his position behind the
head of the table. The hair of the cadaver is then arranged in such
a manner as to be out of the way, and protected by towels so that
it will not become matted with blood and bone-dust. When the hair
is short it is parted in a line extending from just behind the ears
across the vertex. The shape of the head and the degree of baldness
will determine the exact position of the primary incision through
the scalp; sometimes it must be made farther back than the line
connecting the ears in order that the incision may be concealed.
In the great majority of cases it will be made as follows: The
head is steadied with the operator’s left hand, and turned as far
to the right as possible. The point of the cartilage-knife is then
inserted into the scalp, just within the hair-line, behind the left
ear, and with the belly of the knife the scalp is cut through to the
periosteum, in the line of the hair-part, over the vertex, and as the
head is turned to the left, down to the hair-line behind the right
ear, the knife, as it approaches the end of the incision being raised
so as to make the point finish the cut. This scalp-incision should be
made with a strong and quick drawing movement, but the knife should
not be pressed so firmly against the bone as to cut through the
periosteum, else hemorrhages, collections of pus. etc., may escape
before they are seen.
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