. A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . arfollicles thickly aggregat-ed over the mucous mem-brane lining the cavity. Si/mpto/iis.—The diseaseis of iiainless growth andthe expansion of the bonegradual. In course oftime it leads to markeddeformity—the cheek be-comes prominent andround; the eye protrudesfrom the orbit; the pushed to the oppositeside; the nostril becomesoccluded; and the palateis depressed, often to suchan extent as toe m ba rra ss deglutition. The enlargement presents it
. A Reference handbook of the medical sciences embracing the entire range of scientific and practical medicine and allied science . arfollicles thickly aggregat-ed over the mucous mem-brane lining the cavity. Si/mpto/iis.—The diseaseis of iiainless growth andthe expansion of the bonegradual. In course oftime it leads to markeddeformity—the cheek be-comes prominent andround; the eye protrudesfrom the orbit; the pushed to the oppositeside; the nostril becomesoccluded; and the palateis depressed, often to suchan extent as toe m ba rra ss deglutition. The enlargement presents itself as a rounded tumor, softaud elastic at some portions of its surface, hard and re-sisting at others. Pressure upon the swelling often elicitsthe ijeculiar egg-shell crackling characteristic of thosecouditious in which the bone is greatly expanded andthinned. The general appearance of the disease closelyresembles that of solid tumors of the upper jaw. whichfact has caused surgeons, in a number of instances, toexcise the entire upper jaw unnecesstirily. In all doubt-ful cases of swelling of the upper jaw, therefore, es-. Fig. 29iT.—Cystic Tanior uftrum. (Ericlisen.) An- 1 ( REFERENCE HANDBOOK OF THE MEDICAL SCIENCES. \vs» ploiatory punctures should be made before resort is hadto tlie more serious operation of excision. Inatiiient.—Acting ii|)oii the false belief tiiat the en-largement consisted of the pent-up secretion of the antralmucous membrane, surgeons formerly attempted to re-establish the normal opening between the sinus and thenose, but naturally such a procedure never met with suc-cess. The proper treatment consists of the evacuation of thecontents of the cyst by means of free incisions, and theestablishment of efficient drainage until the tendency torecurrence no longer exists. This may be easily accom-plished l)y incising the most prominent part of the tu-mor, usually beneath the cheek, evacuating the contentsthrough till o])ening, and dilating the
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