Abstract
Background
The field of plastic surgery, and in particular facial reconstruction, advanced rapidly during the First World War, but the Italian contribution is little known.
Methods
This paper explores wartime experience in Italy, with particular reference to the unit of Amedeo Perna in Rome, as illustrated by the diary and photographs taken by Emerin Keene, the daughter of the American Consul-General in Rome in 1918, who worked as a nurse in the Ospedale Stomatoiatrico, located in the Villa Massimo.
Results
The diary of her nursing experience provides an insight into the workings and day-to-day life of the hospital.
Conclusions
Whilst there has been interest in, and publication on developments in Great Britain, France and Germany, no significant review of the Italian experience has been undertaken. This article examines the clinical material described by Emerin Keene and the contributions of other Italian contributors to wartime facial surgery, setting these in the context of developments elsewhere in Europe, but further research on what appears to be extensive Italian work in the First World War seems merited.
Level of Evidence: not ratable
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Acknowledgements
Emerin Keene’s album is in the possession of the British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS), which holds the copyright and to which we are grateful for permission to reproduce the photographs. We are especially grateful to Mr. Roger Green, BAPRAS Archivist, for his advice. The authors would also like to acknowledge Mr. Francis Chute, son of Emerin Chute née Keene, who donated the photograph album to the Royal College of Surgeons and who provided bibliographic background.
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Emily A. Stone and Andrew N. Bamji declare that they have no conflict of interest.
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Stone, E.A., Bamji, A.N. Facial reconstruction in Italy during the First World War. Eur J Plast Surg 42, 75–84 (2019). https://doi.org/10.1007/s00238-018-1448-6
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DOI: https://doi.org/10.1007/s00238-018-1448-6