. Injuries and diseases of the jaws : the Jacksonian prize essay of the Royal College of Surgeons of England, 1867. graph taken in1869. The left superior maxilla had shared in the hyper-trophy, and the condition of the palate and teeth is shownin fig. 58^ reduced from a cast, where it will be seen that 150 HYPEROSTOSIS OF THE JAWS. the temporary incisors and canine teetli are still in situ onthe diseased side, though they have been replaced by thepermanent teeth on the healthy side. I removed the leftsuperior maxilla on December 1, 1869, in the hope that theremoval of the bone and the necessar
. Injuries and diseases of the jaws : the Jacksonian prize essay of the Royal College of Surgeons of England, 1867. graph taken in1869. The left superior maxilla had shared in the hyper-trophy, and the condition of the palate and teeth is shownin fig. 58^ reduced from a cast, where it will be seen that 150 HYPEROSTOSIS OF THE JAWS. the temporary incisors and canine teetli are still in situ onthe diseased side, though they have been replaced by thepermanent teeth on the healthy side. I removed the leftsuperior maxilla on December 1, 1869, in the hope that theremoval of the bone and the necessary incisions in the cheekwould lead to a permanent relief of the deformity. Thepatient made a perfectly good recovery, and I subsequentlyendeavoured to open the eye and to destroy a portion of thetissue of the cheek, but without much permanent success,the jDatients condition two years after the operation beingas unsightly as before. I liave recently (1883) received fromMr. Giles photographs of this patient, which show that thehypertrophy of the soft parts has kept pace with the patientsgrowth. Fig. 5S. Fig. A section of the removed upper jaw showed considerablecondensation of the bone, and the fact that the permanentincisors and canine teeth, together with the uncut molars,were imbedded in the bone, and holding very much theirnatural relations to the temporary teeth (fig. 59). Tomes, who kindly examined the specimen micro-scopically, reported that the structure is remarkable onaccount of the absence of well-developed regular Haversiansystems. The bone is everywhere excavated by largeirregular spaces, around which there is but little appearanceof lamination, so that it presents some little resemblance toso-called jorimary bone; tlie lacunai are airanged some-what irregularly. None of the peculiar branched vascular authors case. 151 canals, figured by Mr. De Morgan in his account of themicroscopic characters of Mr. Bickersteths case, were ob-served in their section
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Keywords: ., bookcentury1800, bookdecade1880, bookpublisherphila, bookyear1884
