Journal Mobile

NA Malcolm-Smith
Journal Issue: 
Volume 35: Issue 3: 2005




A child with a facial defect is presented using clinical details recorded in a ward journal of the Royal Infirmary of Edinburgh for 1853. The entry in the journal  is  illustrated  by  a  clinical  photograph  and  a  pen  and  ink  drawing.  The operation for facial reconstruction  is described  together with an account of the post-operative course and outcome. The differential diagnoses and views on the aetiology  of  the  patient’s  disorder  are  considered. The photograph  itself  is described and the historical and social background of the patient are outlined.