Fig. 281.—Cheek Prothesis, after Removal of Sarcoma. (British Medical Journal.)

How excellently this has been accomplished is depicted in [Fig. 282]. This prothetic contrivance not only improved the patient’s appearance, but also enabled him to speak intelligibly, which had been impossible, owing to the absence of a greater part of the soft palate.

Fig. 282.—Prothesis Applied to Face. (British Medical Journal.)

Hayman describes what he did as follows:

“I obtained a model of the mouth, after which an ordinary plate was made, then a special obturator to correct the palatine defect. With the obturator in position a model of the remaining hollow was taken, and from this a silver plate was struck, which filled accurately into the hollow and under the right ala of the nose; a small tongue of silver was adjusted over the bridge of the nose, and on to this the spectacles were subsequently soldered. An artificial cheek and eye were then modeled in wax to match the other side of the face. A second silver plate was struck upon a metal cast taken from the model, soldered to the inner plate as a cover is fixed to a box. An artificial eye was then fixed to the plate in the proper situation, and the face portion painted flesh-color and japanned. In order to keep the mask in position, a strong wire, fixed to the posterior edge of the artificial cheek, passes around the right ear, and the ear pieces of the spectacles are joined behind the head by an elastic band.”

Fig. 283.—Circulation of the Head.