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formed him that that involved an alterationof the laws, which could only be done at theMarch meeting. ’

- BAKER, Esq., proposed, " That the petition which the meeting had Iheard read should be printed, and a copy

forwarded to each member of each House of Parliament."The resolution having been seconded, was

put and agreed to.WILLlAM FARR, Esq., then read the annual

oration on medical reform. [We shall findroom for this able essay next week.]

Professor GRANT moved, and Dr. MAR-SHALL HALL seconded," That the best thanks of this meeting be

given by acclamation to Mr. Farr, for hisable, valuable, and enlightened oration onmedical reform, and that the Council be re-quested to take measures to make it public."The resolution was then put and carried

by acclamation.A vote of thanks having been passed to

the Chairman, the meeting adjourned.

THE DINNER.

At seven o’clock about 60 gentlemen satdown to an excellent dinner, at which Dr.Webster presided.The cloth having been removed, and Non

Nobis Donaiae sung, the usual loyal toastswere proposed, and drunk with acclamation.The CHAIRMAN next proposed The Army

and Navy."G. PARsoNs, Esq., in acknowledging the

toast, said, that he felt most sincerely the honour conferred upon him, and upon themedical ofticers of the Army and Navy. ThatNavy, which was the pride and boast of thisnation, and had always been the bulwarlc ofher safety, like all other institutions, hadundergone many changes. They must becalled reforms, and in some respects theywere improvements. If war should againarise, he trusted that poor Jack would befound as ready as ever to unfurl and to de-fend " the tlag which had braved a thousandyears the battle and the breeze." (Cheers.) It must be obvious that the assistant-surgeonto the Itoyal Navy was not a Roderick

Random, neither did he belong to the classof doctors’ mates. The cock-pit was not theproper place for the assistant-surgeon.(Cheers.) The second lieutenant of marineswas admitted to the board-room, though hewas inferior in rank to the assistant-surgeon.The latter was always an educated man, butit was of little consequence whether theformer was able to tell whether the firstletter of his name was an M or an Ism.(Laughtey.) The age and qualification of anassistant-surgeon entitled him to be the mess-mate of men, and not to be made, as he wasnow, the companion of boys. (Cheers.) Thedisagreeableness, the privations,and the dan-gers of a life at sea, were little known, aud

less appreciated, by those sleek, smooth-faced gentlemen, who sat quietly at dinnerin their arm-chairs, with no other anxietythan to keep a bright look out for the oppor-tunity when they could come cuckoo overothers by bundling them out of their nests,and taking possession of them for themselves.(Laughter and cheers.) It would only bean act of tardy justice when that excellentclass of oflicers, who had so long, so ably,and so faithfully, discharged their duties,had acceded to them the honour of the ser-vices they had rendered. (Cheers.)

G. Pn,cffER, Esq., said, that the stewardshad imposed upon him the duty of proposingwhat might be termed the toast of the even-ing, namely, " Success to the British Me-dical Association, and its branches."(Cheers.) It was fortunate, however, thatthe interests of the profession were most in-timately blended with the interests of thepublic ; that which degraded the formermust injure the latter; that which elevatedthe profession must benefit the public. ThisAssociation therefore had great claims topublic confidence and favour. It had noselfish objects in view. (Cheers.) He wassure they would all agree with the remarkof the excellent Bentham, that that was ofthe greatest worth which did the greatestgood to the greatest number. Let themtherefore place the most useful, and conse-quently the most honourable of professionsupon a sure and proper basis. (Cheers.)Who would be the greatest gainers by it,the members of the profession or the public?(Cheers.) He need not answer the ques-tion. The profession, however, could notbe elevated to its true position while it wasdivided into sections; nor could it do that

good of which it was capable while its

members, educated in one part of the unitedkingdom, were forbidden to practise inanother part of it. (flear, he(i?-.) By thushampering the members of the profession,the public themselves were sufferers to avery great extent. Their division intothree classes was perfectly unnatural;it had injured and trammelled the pro-fession ever since it had been adopted.(C’hcers.) The great object of this Associa-tion Mas to remove that stunibliug-block totheir usefulness; not to depress all to thesame level, but to raise all to the same

height, so that he whose circumstances ledhim to practise among the poor should be aswell educated as he whose duty called himto the palace. (Cheers.) The fact of oneman practising among the lower classes, andanother among the higher, depended uponchance in the great majority of cases, ratherthan upon intrinsic merit. He would haveno distinctions excepting those which talentand industry might produce. It was a lead-ing feature of this Association to unite theprofession under one head ; to obtain one

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governing body, which unfortunately therewas not at present, and that body to be re-sponsible to the profession, and through itto the public. There would then be a headto which they might apply in the hour of dif-ficulty and danger, and in which they wouldhave the highest confidence. (Cheers.)Another important feature connected withthe Association was the establishment, atsome future period, of a court of honour.He knew that there were difficulties in

bringing about such a desideratum, butthey might be overcome. Misunderstandingssometimes occurred among men of the

greatest honour, which, fur want of beingremoved at once, continued through life.Before the establishment of such a courtwas contemplated by this Society it hadoccurred to him that it would be of sigualadvantage. If the members of the profes’sion were united as they ought to be theirinfluence would become great indeed; andin proportion as education advanced thatinfluence would be directed to right ends.(Cheers.) He hailed the formation of abenevolent fund connected with the BritishMedical Association as a boon to the pro-fession. Cases of distress among the mem-bers of the profession were continuallyoccurring, and he had often lamented thatthere was no society to which applicationcould be made, and which, by inquiring intothe case, might be the means of saving adeserving family from misery and ruin.

(Chee2-s.) The toast was then drunk withenthusiastic cheering.

Professor (GRANT in proposing the nexttoast, The Independent Medico Press,"observed that in all movemeuts in the

political and scientific world the labours ofone who devised a plan were iueffecti%-f-.without other agents. But, notwithstanding the great number who might spread theiropinions and sentiments among the com-munity, still, without the aid of the publicpress, tht’ir efforts would prove abortive.There had been at different times in thehistory of the medical profession men whohad risen above party spirit and endeavouredto maintain that dignified consistency whichhe was delighted to xce govern their move-ments. The study of medicine did not

form a part of general education, but allpersons were deeply interested in its results.They might not be able to obtain at oncethe voice of the whole community on theirbehalf, but through the medical press thegrounds and the details of their measureswould be explained to the world. Thevery purity of institutions was often thecause of injury. The institutions of civil-ised society were improving ; the medicalprofession partook of the general advance-ment, and if medical corporate bodies re-mained unchanged they must necessarilybecome distanced by the march of intellect.

Let not medical reformers, therefore, bedaunted by the reiterated remark that thoseinstitutions were of old standing; that theywere founded by men of the greatest emi.nence. They wished not to destroy thosecorporations, but to accommodate them tothe advancement of medical knowledge, andthe demands of the profession ; or if thatcould not be efTected, to forrn a new one,which would he better than them all.(Cheers.) Very few portions of the medi-cal press took up the position of this Asso.ciation, which was founded in good Bense,and in wise and discriminating views. Abranch of that press, however, had for six.teen years followed up one continued, un-deviating, steady course, neither intimi-

dated, on the one hand, by the insults ofpaltry opposition (clieers), nor allured by thetempting and flattering prospects held outon the other. (Cheers.) Need he say that healluded to THE LANCET (loud cheers), begunand conducted by a medical man, whohaving marked out a path for himself hadfollowed it with undeviating consistency.(Renewed cheers.) There was a gentlemanpresent who had been long and intimatelyconnected with that Journal, who had takena responsible part in carrying it on, andhe would, therefore, propose, The Inde-pendent Medical Press, associated with thename of Mr. George Mills." The toast hay.ing been drunk with loud applause,

Mr. GEO. 1. MILLS begged to say that the.honour conferred upon him by ProfessorGrant was wholly unanticipated, as he badattended the present Festival purely for thepleasure of hearing welcome news relatingto the interesting topic of medical reform,not of attempting to communicate to themeeting either opinions of his own or any in-formation on tite subject of either of thetoasts. He would rather be superseded onthis occasion by some friend who was abetter representative of that industriousclass uf labourers by whose agency the me-dicjt press maintained its existence. If thechallcnge to this elivct which he now madems not answered, he must, on behalf ofother gentlemen as well as hintself, fulfil theduty of thanking the company, humbly butsincerely, for the honour they had done tothe medical press and its contributors in re-

spuuding to the proposition of the great phi.lusopher who had just addressed them.Were he penwually known to many insteadof to uuly three or four of the membersof the Associattou, he should make a fewremarks on only two topics, namely, themedical press, as an agent of reform, andthe purposes of its founder and chief con-ductur. But an apologetic word or two re-specting himself might, under the circum.stances, reasonably be demanded by the

meeting. He was greatly interested in the

question of medical reform, for be had been

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expressly educated to fulfil those dutiesconnected with the medical press on whichthe last ten years of his life had been almost

wholly occupied. During his apprentice-ship to a distinguished member of the Col-lege of Surgeons he had become a pupil at

the Webb-street School, and a student atthe Borough hospitals. Two better schoolsfor showing both sides of the questions onwhich the attention of medical reformerswas occupied, did not then exist, and threeyears spent in the regions of those hospitalsafforded him good opportunities of detectingtheir comparative aselessness to medicalscience under a bad system of government,and the value which must attach to themunder a good one. Not a day could be

passed in the borough of Southwark atthat time without deriving evidence that thegreat scientific resources of Guy’s and St.Thomas’s Hospitals were reserved for thebenefit of a few favoured individuals, andhe studied and reported in one of them

only in direct defiance of the orders of theTreasurer against the free portion of the med i-cal press being permitted to make its voiceheard from within its walls. Twelve years,however, had wrought a great change inthe aspect of medical reform. For a long timethe press said much, but could effect littleon its behalf. In the learned work of Mr.

Godfrey Higgins, Isis Revelata, the laboriousauthor had stated that he commenced hisstudies with the resolution to work at themsix hours daily for ten years, but he had really laboured during ten hours a day for twenty years. For the first ten years of that time he had accomplished apparently no-thing, but in the last the results so fast ar-ried that he was overwhelmed by theirabundance. So had it been with the labours of the great medical reformer, Mr. Wakley.For the first half of his editorial life he hadonly accumulated before the eyes of thetorpid profession the errors of the prevailingsystem of medical education and govern- ment. In the latter half of that time he hadbeen witnessing the gradual awkening ofhis brethren to a sense of their degradingposition, and now they were on the eve of

effecting the great object which from thefirst he had, with a prophetic spirit, urgedthem to demand. It was gratifying to him(Mr. Mills) to find his own faith-twelveyears since established-in the final achieve-ment of an independent press-opposed asmedical reform once was on almost everyhand justified-amongst other signs of thetimes-in the position assumed by theBritish Medical Association, which wouldultimately become the central point of theprofession, and must ever occupy a promi-nent place in the history of the profession inEngland. Mr. Mills then made a brief his-torical reference to the labours of THE

LANCET, and the one principle whichMr. Wakley had ever kept in view as its

editor, namely, the public welfare, and avow-ed his impression that equal honesty andindependence were essential to bring anyone of the labours of the press to a success-ful issue. In conclusion, he made somegeneral remarks on the influence of the press,and pointed out that those elements, in thedepression of any country, which had inpast ages been in operation, would be effec-tually combated in the career of every futurepeople, by that modern creation of ingenuityand intellect, the press, so that prophets,who lamented over the 11 fall of nations,"must now, instead of calculating from theexperience of the past, make new horo-scopes of the condition of succeeding gene-rations, if they wished to foretell arighttheir progress. The press, employed withthe advantages which attended its perfectfreedom, could not fail, since honesty as wellas venality had free competition in the martof periodical literature, to modify or abateevery evil, and increase every good, whichwaited on the footsteps of luxury andcivilisation.

Dr. R. D. THOMPSON proposed " The Pro-fessors and Teachers of Medical Science."His opinions on some topics connected withmedical education might be at variance withthose around him, but he had no objection toa toast like the present. It was of greatimportance that the teachers of medicalscience should be held in the highest respect.It was of no consequence to the publicwhere a man obtained his education, provid-ed that he really had knowledge. (Applause.)They were not to hold up men to respectmerely because they were teachers, butesteem them for the information and know-ledge they possessed. That was one greatobject of the British Medical Association,and upon that ground he had joined it. Hehad been educated principally in Scotland,where a greater degree of liberality prevail-ed than in London. On arriving in Londonhe found a number of institutions establish-ed, at the head of which he was told therewere persons of great distinction. (Hear,hear.) He inquired what they had done forscience, but was unable to procure an an-swer. (Laughter, and hear, hear.) Therewere, however, some splendid exceptions;he referred to the names of such men as Sir

Astley Cooper. (Loud cheers.) He hadderived great benefit from reading his works,but many of the books published by menholding high stations were a disgrace to theprofession. He had been told that main-taining the monopolies in the different hos-pitals of the metropolis was the only way ofsecuring eminent men. Let, however, thehospitals be opened to public competitionand they would have a hundred Abernethys,a hundred Coopers. (Loud cheers.)

R. GRAINGER, Esq. rose to return thanks.

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In much which had been stated by the gen-tleman who proposed the toast he entirelyconcurred, but some of it applied to timeswhich were past rather than to the present.He was highly gratified to find that the Bri-tish Medical Association had adopted an

admirable outline of medical reform. Al-though many persons might not have takenan active part in its affairs, yet they did notfeel less interested in the subject of medicalreform. He was anxious to see adopted aplan of reform which would not pull down,but raise up the profession, a plan such asthat proposed by this Association. A highstandard of medical education must formone of the prominent features of salutary re-form. (Cheers.) The country and the agehad entirely outgrown the puny institutionshanded down from bygone years. Althoughin some respects the London University didnot fulfil all that was desired, yet he hailedit with great satisfaction as the commence-ment of a change. That it was not respon-sible to the members of the profession wasan evil, but an evil almost unavoidable. Hewas of opinion that the heads of the profes-sion should be chosen by the body of theprofession. (Heal’, hear.) He thought the

day was not far distant when that most de-sirable object would be effected. A greatoutcry had been raised against the require-ments of the University, but when pupilshad held up their hands against the improv-ed education required, they had overlookedtheir own advantages. Amongst other eB ilsat the present day was that continual stum-bling-block, the Apothecaries’ Company.He spoke not of individuals but of the scs-tem, a system which placed the educationof the must important and most scientificpart of the profession under the auspices ofa trading body. So long as live years ap-prenticeship was required, monstrous injus-tice would be done. It abstracted five nar1lfrom the time which ought to be devoted tothe study of the more important parts of the profession. In addition to the five year;’thus occupied by apprenticeship, the Apo-thecaries’ Company had grafted upon it thenecessity of three ears attendance on lec-tures, &c. &c., so that eight years were occu-pied in qualifying a general practitioner forhis profession, whereas four years were allthat was required by the learned Universi-ties in order to obtain their diploma. (Ilfllr,helll’.) He trusted that, with one exception,the outline of reform proposed by this As-sociatiun would be fully carried out. Ilethought that in this country there ought tobe an equality of rights, or if any distinctionwas adopted it should be solely upon theground of mental ability. They ought notto be satisfied with that minimum of know-

ledge which would enable a man to get intopractice, but have some higher object to

obtain. If they took away the reward ofextraordinary merit they would remove ouo

of the greatest stimulants to professionalacquirement. (Loud cheers.)The CIIAIRNIAN- was sure that the next

toast would be received with the distinctionit deserved. It was " Our ParliamentaryFriends." (Loud cheers.) He had hopedthat several would have been present, butcircumstances had prevented their attend.ance. The Chairman then read a letter reo

ceived from J. Hume, Esq., M.P., in whichthe honourable Member expressed his reo

gret that he was not able to join the com.pany, but approved of the objects of the As.sociation. As the Association hoped to

bring in a Bill embodying a large measureof medical reform, they must make (riend.among the Legislature. He would, there.

fore, press upon every member the import.ance of using his influence in that respect.(Applause.)Jarw BRADY, Esq. proposed, as the next

toast, · The Orator of the Day ; " in doingwhich he passed a high and just enconiiumupon the Oration delivered by Mr. Farr,who briefly acknowledged the toast.

Dr. LYNCH, of Newcastle, said, that resid.ing as lie did many miles frum the metropo-lis, he had but few friends aud acquaint,ances who were members of the Association.But he believed that every mau of honourand principle was called upon to use hisbest efforts in the removal of evils injuriousto the profession and the public, and dis-

graceful to this great nation. He rose topropose as a toast, ’’ The President of theAssociation." (Loud cheers.) It was a mat.ter of the utmost importance to have so ublea man at its head. He at once gained reo

spect for himself and an attentive e considera-ttonof the objects of tite Association. (Re-newed cheers.)The CHAIRMAN rose and said, that he

would rather that the eulugium bestowedupon himst-tf had been bestowed on thecause. He felt great interest in the institu.tion, and in the progress it was now makingin the wortd. His sentiments were so wellknown that it was not necessary fur himnow to come forward and explain his creed.((’hrers.) There were, ltowever, one or twopoints which pressed themselves on his;uiud. One was, the rapid progress of reoform ; the other, the degraded state of somebranches of the profession. The rapid pro.gress of reform was remarkable. Prior tothe y( ar 1823, medical reform was not heardof: there was no liberal press. In 1826, amovement was made in this very tavern, butunfortunately it began in insincerity, andended in apostacy. (Loud cheers.) In theCollege of 1’hysiciaus there was among thelicentiates what might be clllled a RefurmAssociation, which at one time numbered noless than 70 members. The number was ttf-terwards reduced to 40, then to 12, and at

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the present day he believed there werenone. What had become of the number?

Some, in an apathetic spirit, had ceased tolabour in the cause; others had been tam-

pered with, and men who at one time hadsigned a petition to the House of Commonsagainst the monopoly with their right hand,had since with their left accepted Fellow-ships. (Shame.) There were, however,many honourable exceptions to that courseof proceeding. (Checrs.) The few remain-

ing members had joined this Association.He regretted that the parliamentary inquiryhad hitherto produced so little good, buthe looked forward with pleasure to theperiod when they would reap the fruitsof that inquiry. Then, with respect to thedegraded state of some parts of the profes-sion-from what did it arise? He alludedmore especially to the number of apostatesamongst the general practitioners who hadaccepted tenders under the Poor-law Com-missioners. It was the state of the lawrather than their own inclination which ledto the course they had pursued. Had theheads of the colleges taken proper measuressuch degradation would not have fallen uponthe profession. (Cheers.) Some practitionershad absolutely joined with their professionthe business of grocers. He saw the otherday in Manchester the following announce-meet in the window and on the door of alicensed medical man. He would not statehis name, but adopt a legal cognomen." John Doe, dispensing apothecary. Horse and cattle medicines of all kinds prepared with genuine drugs. Cigars. Medical ad- vice gratis. by Mr. Doe, licentiate of the Worshipful Company of Apothecaries, Lon- don. Prescriptions accurately Prepared.Teeth Extracted. Chemist and Druggist.Doe, Apothecary and Druggist. GenuineDrugs, on the lowest terms. Patent medi-cines and Perfumery. (Cheers and Laughter.)Strong Pickle Vinegar. London Pickles. Fish Sauces, &c. Soda Water. Lemonade.Bear’s-grease, 6d. per pot. (Laughter.)Congreve Matches, 1d. per box, 2 boxes,1½d. Wax and Store Candles." On the

door-post was written, "Doe, Surgeon."(Hear, hear, hear.) He entered the shop,and found Mr. Doe civil, obliging, andanxious to answer inquiries. He askedhim if he was a member of the College of

Surgeons, to which he replied in the nega-tive. It was the man’s poverty, and not hiswill, which induced him to pursue such acourse in order to gain a livelihood. (Ifear,hear.) The state of the law permitted clie-mists and druggists to compete with le-

gally-educated medical men, and thus

quackery became rampant. Was that astate of things that could long continue?After the recent decision against the Apothe-caries’ Company was there not a necessityfor medical reform ? He was, howeverdelighted to think that matters having come

to the worst they must soon be mended.They were now in such a position that themedical profession might be compared to acask of wine in a state of fermentation. Itmight he divided into three parts-thescum, the dregs, and the pure, clear liquor.(Laughter and cheers.) He hoped theywould soon get rid of the scum-that allmonopolies would be destroyed, and irre-

sponsibility cease to exist; with respect tothe dregs—Poor-Law tenders and quackeryin every form-he trusted they would soonbe unheard of; and then the pure wine-thevigour of the profession-would diffuse itsblessings through the country. This wasnot a private but a public question. Themedical profession administered to the ne-cessities of every human creature, from thecradle to the grave. He trusted that themembers of the profession would feel thegreat importance of union, and would takeevery opportunity of circulating the outlineof reform to which allusion had been made.The Association asked for nothing the pro-priety of which was not pointed out bycommon sense; but without unity theywould never be able to accomplish their

objects. (Cheers.)Dr. LYxcrt (of London) proposed, in a

suitable speech, " The healths of the Vice-Presidents and Council."

Dr. MARSH BLL HALL, in returning thanks,said that he felt a hearty concern in thecause which had brought them together thatevening. He contended that every prac-titioner should pass through the same exa-mination and receive the same diploma, and

then if there was a difference let it be thatwhich every man created for himself. Hewould have the profession so constitutedthat every private soldier might become ageneral. Such were his sentiments, andfrom them he did not intend to swerve.

(Loud applause.) The evils resitltiun fromquackery were innumerable. He saw a

patient the other day tabouring under pleuro-pneumonia, whose pain had been alleviatedin the first instance by a draught givenhim by a druggist residing in the neighbour-hood of Paddington, but who, ignorant ofthe complaint, merely sought to lull the

pain, while the disease was suffered to pro-ceed unchecked. When he (Dr. Hall) sawthe patient he was reduced to a state in whichrecovery appeared impossible. That was amurderous state of things, which ought notto be allowed to continue. When druggistsadvertised for assistants at the present day,the first question they put to the applicantswas, "Are you an adept at counter-practice?"If they were, they would give a salary whicha young man who had passed the Hall couldnot procure, so that the wages of iniquityexceeded in amount the wages of honesty.(Renewed cheet:s.) The high rewards of theprofession ought to be open to every man

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who chose to seek them. The present stateof things ought not to be allowed to continue.He had paid 60 guineas to the College ofPhysicians, but that did not entitle him toenter the doors and look at their hooks, orat the diagrams of Harvey on the wall.Could such things be endured? (Cheer8.)They had a mighty work to achieve, anda mighty engine must be put into operationin order to accomplish it. (Renewed Ap-plauee.)

Mr. JAMES proposed as the next toast,The Treasurer, Auditors, and Trustees ofthe Association."

E. EvANS, Esq., the Treasurer, returnedthanks for himself and the auditors.G. PILCHER, Esq., expressed a hope that

the Benevolent Fund would be speedilyaugmented.

—CARVERAN, Esq., proposed "The Healthof the Honorary Secretary, C. H. R. Harri-son, Esq., and the Solicitor, David Davies,Esq.," both of whom ackaowledged thetoast." The Health of the Stewards " was next

drunk, for which J. N. Bainbridge, Esq., re-turned thanks.The CHAIRMAN proposed as the last toast,

"The Visitors," and noticed the eminent’service which the daily press was capable of irendering the cause of Medical Reform.The compliment having been acknow-

ledged, the company shortly afterwards Iseparated.

RESTORATION OF A

LARGE PORTION OF THE FACE.

THE following case presents an exampleof one of the most fortunate attempts which,perhaps, has ever been made to restore, bysurgical operation, a large portion of thehuman figureA Belgian soldier received, in 1831, a

gun-shot wound, which shattered the lowerjaw, cut through the tongue, and carried

away the upper lip, with the cheek andsuperior maxilla. The mouth and nasalfossæ were thus converted into one cavity ;behind, the velum pendulum and palatinebones were untouched, but the mouth corn.municated on either side with the zygo-matic fossæ. On the right side the floor ofthe orbit was driven in, and the eyeballforced out of its cavity. This enormouswound did not bleed, and the man wascarried off the field three hours after its

receipt. A long time elapsed before anyregular surgical aid could be afforded, whenthe face presented the most deplorable ap-pearaoce. The portion of the nose whichremained had become adherent to the roof ofthe palate ; the fragments of the lip and

right cheek were rolled up and useless;the perpendicular diameter of the face wasmuch reduced by the loss of the upperjaw-bone, while the lower maxilla was

carried upwards and touched the dorsnmof the nose. The tongue was adherent tothe roof of the mouth, and the patient couldonly express himself by indistinct gutturalsounds.On the 18th of March, 1839, M. Burg.

graeve endeavoured to correct these defor.mities by the following operation :-Thelower lip was separated on either side bytwo cuts with the scissars; two other in.cisions were then made (the convexity beingdownwards) from the opening of the nasalfossæ to the anterior edges of the maxillarybones, while two incisions descended at

right angles to the last, along the massetermuscles to the angles of the lower jaw.Two flaps were thus formed, and separatedfrom the subjacent parts, being adherent tothe skin of the neck by two pedicles of aninch in breadth. The nose was now dls.sected away from its adberrnces to thepalate, and two side-flaps brought together,the nose being placed on their juncture atthe middle line of the new lip. The upperand internal angle of the right ttap wasfixed by two points of suture under theangle of the right orbit, and the other por.tions of the edges were also united bypoints of the interrupted suture. Thistedious and terrible dissection lasted an

hour and a quarter. Bo dressing, satelint and water, were applied; the patienttook au opiate draught. The cold lotionswere cuntinued. On the third dd) it "AS

found necessary to remote a silver platewhich had been placed under the tlap torepresent the niaxillary bone and dorstiiii ofthe use. As the mouth was too narrow to

permit its extraction M. Burggrae e rlmiJedthe sutures along the median line of thewound, and extracted the metal plate with-out difficulty. On the healing of the (hi.ferent parts of the wound it was found thatthe iowerjaw still ascended above the upperlip, and rendered the ingestion of foodcliliieult, To remedy this defect the sur-

geon elevated the commissures of themouth on either side by removing ellipticalportions of the skin, in the direction of thenaso-labial lines, and this had the desiredeffect; he also cut away the indurated cel-lular tissue of the cheek which had beenoccasioned by the dissection of the flaps.—French Medical Gazette, Sept. 31, 1839.

APPARATUS FOR VAPOUR BATHS.

THE following is a description of a cheapand commodious apparatus for vapour baths,which was lately presented by M. Duvul tothe Royal Academy of Medicine:-