Injuries and diseases of the jaws . J. F. South. The preparation (post-mortem) shows part ofthe right side of the lower jaw, with sections of a large bonytumour at its angle. The angle of the jaw rests in a deepgroove on the middle of the upper surface of the tumour,and in some situations their respective substances are con-tinuous. The tumour projects both below and on each sideof the jaw, is of irregular shape, measures nearly three 316 TUMOURS OF THE LOWER JAW. inches in its chief diameter, and is deeply nodulated. It iscomposed throughout of bone, uniform in texture, and ashard and heavy a
Injuries and diseases of the jaws . J. F. South. The preparation (post-mortem) shows part ofthe right side of the lower jaw, with sections of a large bonytumour at its angle. The angle of the jaw rests in a deepgroove on the middle of the upper surface of the tumour,and in some situations their respective substances are con-tinuous. The tumour projects both below and on each sideof the jaw, is of irregular shape, measures nearly three 316 TUMOURS OF THE LOWER JAW. inches in its chief diameter, and is deeply nodulated. It iscomposed throughout of bone, uniform in texture, and ashard and heavy as ivory (fig. 148). In May, 1870,1 removed an ivory exostosis from a youngwoman aged thirty-two, a patient of Mr. Ceely, of Aylesbury,whose portrait is given in fig. 149. There had been a pain- FiG. less enlargement of the left side of the lower jaw for fiveyears, and there was also a smaller enlargement of the rightside. A small exostosis also existed on the left pubes. Imade an incision behind the jaw and sawed ofi the growthlevel to the bone, removing a dense ivory growth measuringtwo inches in length by one inch in width, and three-eighthsof an inch thick in the centre. The exterior of the growthpresented a finely reticulated appearance, and at the upperpart was a small depression filled with cartilage in the recentstate. Two years after the operation I was informed by that there had been no reappearance of the growth,and that the other exostosis remained in statu quo. When the exostosis forms a distinct and circumscribed OSSEOUS TUMOURS. 317 growth, whether it be of the cancellous or ivory character,it should be sawn off the bone at the level of the healthysurface, and will in all probability not recur. When, how-ever, the whole thickness of the bone is involved, as
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Keywords: ., bookcentury1800, bookdecade1870, bookpublisherlondo, bookyear1872
