. Injuries and diseases of the jaws : the Jacksonian prize essay of the Royal College of Surgeons of England, 1867. gs College Hospital there was aswelling on the left side of the face about the size of anapple, extending from the eyebrow to a line less than oneinch above the mouth. Internally, it encroached upon thenose, displacing it a little, the nasal bone being pushed for-wards and the left ala ilattened on the colunnia; the masswas felt by the finger in the mouth above the gums. Thenostril on the same side was perfectly blocked up, the patientbeing totally unable to breathe through it. T


. Injuries and diseases of the jaws : the Jacksonian prize essay of the Royal College of Surgeons of England, 1867. gs College Hospital there was aswelling on the left side of the face about the size of anapple, extending from the eyebrow to a line less than oneinch above the mouth. Internally, it encroached upon thenose, displacing it a little, the nasal bone being pushed for-wards and the left ala ilattened on the colunnia; the masswas felt by the finger in the mouth above the gums. Thenostril on the same side was perfectly blocked up, the patientbeing totally unable to breathe through it. The right nostril,however, was quite free. Outwards, the tumour extended tothe angle of the orbit; the arch was, however, not displaced,but the tumour extended slightly above it. TJie floor ofthe orbit seemed displaced. The eyeball was seen imbedded OSTEOMA OF THE UPPER JAW. 281 in the most prominent and central part of the tumour, andremoved more than an inch from its natural position in theorbit, which was entirely blocked up by the mass. Therewas no extension into the pharynx. The tumour was every- FiG. where hard, with a slight blush over the surface. In itscentre was a round opening, produced by the caustic appliedtwo years previously, of about the size of a shilling, deep,and displaying in its floor black necrosed bone, and dis-charging pus. The patient said he had suffered neitherheadache nor pain in the tumour since its commencement,twelve years before, and that his sight had been William Fergusson operated upon this patient on No-vember 30, 1867, and succeeded in removing the whole ofthe prominent tumour, weighing 10| ounces, which consistedin all its anterior part of nodulated bone as hard as ivory,and posteriorly, of very dense ordinary bone mixed with asmall amount of cartilage. A section showed an ivory-likemass closely resembling Mr. Hiltons specimen, connectedwith a mass of very much condensed bone. The tumoursprang apparently, as in the forme


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Keywords: ., bookcentury1800, bookdecade1880, bookpublisherphila, bookyear1884