. Injuries and diseases of the jaws : the Jacksonian prize essay of the Royal College of Surgeons of England, 1867. rable size. The tumour was of the MR. LISTONS CASE. 243 same nature as those of the third and fourth cases relatedin the paper (, fibroid), as regards its disposition, form,and intimate structure. It differed somewhat, however, inoutward appearance, in consequence of its exposed growth sprang originally from the gums and sockets ofthe incisors and canine tooth of the left side ; at an earlyperiod it protruded from the mouth, unconfined and uninflu-enced by the
. Injuries and diseases of the jaws : the Jacksonian prize essay of the Royal College of Surgeons of England, 1867. rable size. The tumour was of the MR. LISTONS CASE. 243 same nature as those of the third and fourth cases relatedin the paper (, fibroid), as regards its disposition, form,and intimate structure. It differed somewhat, however, inoutward appearance, in consequence of its exposed growth sprang originally from the gums and sockets ofthe incisors and canine tooth of the left side ; at an earlyperiod it protruded from the mouth, unconfined and uninflu-enced by the pressure of the lips or cheek. It had assumeda most formidable size and appearance, concealed the palateand pharynx, and gave rise to great inconvenience and con-tinued suffering. The surface had been broken by ulcera-tion, but upon a close inspection of the projecting part andof that covered by the cheek, it was found to possess a firmconsistence, and to present the same peculiar botryoidalarrangement of its parts as the others of a simple andbenign nature. The operation proved perfectly successful. Fig. Fig. 122 shows the after-condition of the patient, the scarsin the upper lip being the result of the previous unsuc- n 2 244 EPULIS. cessful attempt to remove tlie disease. The preparation isin the Museum of the College of Surgeons (2193). A case, very similar in many respects to the preceding one,was successfully operated upon in 1869 by Professor Kiuloch,of Charleston. The patient was a negress aged twenty-five,and presented much the appearance shown in fig. 121, themouth being enormously distended by a protruding growth,which appeared to have originated in the alveolus, but tohave involved the superior maxilla. Dr. Kinloch removedthe mass, which weighed nearly two pounds, and thepatient made a good recovery. Treatment of Epulis.—No treatment less radical thanremoval of the growtli is of the slightest advantage. In thecase of a small epulis growing betwee-n or close
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