. Atlas of clinical surgery; with special reference to diagnosis and treatment for practitioners and students. OSS IDOenXi <. o5 r3 O n Rcbman Company, New-York. GUMMA LABII SUPERIORIS ET NASI {Gumma of the upper lip and nose)Plate XCV, Fig. liO. This case shows extensive destruction of the upperlip, the cartilaginous portion of the nose, the nasalseptum, and the bony framework of the nose, due togummatous ulceration. There is also perforation ofthe hard palate. The upper lip shows the character-istic yellow, tenacious deposit, which can be removedwithout bleeding. The surface of the ulcera
. Atlas of clinical surgery; with special reference to diagnosis and treatment for practitioners and students. OSS IDOenXi <. o5 r3 O n Rcbman Company, New-York. GUMMA LABII SUPERIORIS ET NASI {Gumma of the upper lip and nose)Plate XCV, Fig. liO. This case shows extensive destruction of the upperlip, the cartilaginous portion of the nose, the nasalseptum, and the bony framework of the nose, due togummatous ulceration. There is also perforation ofthe hard palate. The upper lip shows the character-istic yellow, tenacious deposit, which can be removedwithout bleeding. The surface of the ulceration isfairly smooth and the borders soft, as compared withthe irregular surface and hard borders of carcino-matous ulceration. The patient had syphilis tenyears previously. The patient was treated with iodide internally andmercurial ointment locally. After the ulcerated sur-face had become clean, the borders were excised andunited by sutures. The defect in the nose wasrepaired by a plastic operation, and an obturatorwas worn for the perforation in the palate. 313 ABSCESSUS GUMMOSI (Gummatous Abscess)Plate XCV, Fig. 121. T
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