The practice of surgery . s are severe. With a considerable amount of constitu-tional disturbance, there are deep-seatedFig. 70. and great pain, tension and throbbing, and swelling of the superimposed soft , partial evacuation takes place,spontaneously, by the side of a tooth; withrelief from the more prominent imperfect evacuation and relief, how-ever, are not enough ; the operation, abovethe bicuspid teeth, as for emptying the in-dolent fluid collection, must be had recourseto. But, of course, in the first instance,attempts are made to forego the necessityof all op
The practice of surgery . s are severe. With a considerable amount of constitu-tional disturbance, there are deep-seatedFig. 70. and great pain, tension and throbbing, and swelling of the superimposed soft , partial evacuation takes place,spontaneously, by the side of a tooth; withrelief from the more prominent imperfect evacuation and relief, how-ever, are not enough ; the operation, abovethe bicuspid teeth, as for emptying the in-dolent fluid collection, must be had recourseto. But, of course, in the first instance,attempts are made to forego the necessityof all operative interference, by timeouslyarresting the inflammatory process, if possi-ble, ere matter has at all formed. Whenpurulent accumulation has taken place, theartificial opening cannot be too soon esta-blished. For, from the turgid state of themembrane, it is very obvious that no partialrelief can be expected from spontaneous evacuation through the nasalaperture—as sometimes happens in the indolent collection of Enlargement of the Antrum, by accumulation of fluid within. Poli/pus of the Antrum. ^ The lining membrane of this cavity, like that of the nostrils, maygive origin to polypous formations. But the occurrence of benign polypihere is comparatively rare. The medullary formation is not uncommon;constituting the origin of osteocephaloma, as affecting this bone ; andamenable to the ordinary rules of treatment (Principles, 3d Am Edp. 457). r Did plain indications exist of the presence of a benign polypus— TUMORS OF THE SUPERIOR MAXILLA. 181 mucous or fibrous—within the antrum, it would certainly be our dutyto expose the cavity, by suitable incision, from the mouth ; with orwithout division of the lip ; and to eradicate the morbid growththoroughly. Such cases, however, are extremely rare. Tumors of the Superior forms of tumor are liable to occur in this bone : Osteosarcoma Fig. 71.
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