lobes of the ear should be found to be dissimilar to the other as regards its . thickness or thinness. The process known as Kapata-Sandhika consists in bringing about an adhesion, on the posterior side, between one of the bifurcated lobes and another, which is elongated on the anterior side of the ear. The adhesion is so called from the fact of its resembling the closing of the two leaves of a door (Kapatam), The process known as the Ardha-Kapata-Sandhika consists in bringing about an adhesion on the anterior side between the shorter one of the two parts of a bifurcated earlobe with the part, elongated on the posterior side, like a half- closed door.
The ten aforesaid processes of adhesion may be successfully brought about and their shapes can be easily pictured from the meanings of their respective names.
The remaining five sorts such as the Samkhiptam etc., are seldom attended with success and hence are called impracticable (Asadhayas). The process Samkhiptam has its scope in the case where the auricle (Shashkuli) has been withered up and one of the bifurcated lobes is raised, the other being reduced and shortened. The process of Hina-karna should be adopted in cases where the supporting rim of the lobe (pinna) has been entirely swept away and its exterior sides and the cheeks are sunk and devoid of flesh. Similarly the adhesive
