144 FUNGUS H.EMATODES. 



it now filled the submaxillary space, and even projected beyond 

 the branches of the jaw. It was still hard, and the skin upon it 

 tense and adherent. Being neither painful nor, as yet, trouble- 

 some, it was let alone. In the eye, however, a month after the 

 last operation, a new vegetation occupied the same spot as the old 

 one, and was of the same nature. It grew as the other had done, 

 and in five months again was the eye completely covered. Then 

 again, by now the submaxillary tumour had become enormous, 

 and was comparable in hardness to a stone. It interfered with 

 the motions of the tongue and with deglutition. 



A double operation was now become necessary : M. Crepin 

 solicited the aid of M. Pagnier, V.S., Gardes du Corps, and MM. 

 Philippe and Leon, V.S. Second Dragoons, who obligingly at- 

 tended on the 11th of September. 



After having made a longitudinal incision through the skin, un- 

 derneath the jaw from the throat, almost to the submaxillary sym- 

 physis, M. Crepin dissected carefully past the flaps, and made 

 an effort to isolate the tumour, by detaching it from its adhesions 

 partly Avith his fingers and partly with the bistoury. He suc- 

 ceeded in raising it in one mass, which w^eighed 1 ife 13 oz. He 

 apprehended opening the parotid duct. He was also close upon 

 the internal maxillary artery. He tied both vessels. After all, he 

 found himself compelled to open the duct. 



There remained two gangliform tumours, the larger of which, 

 the size of a pigeon's egg, lay against the bifurcation of the jugular, 

 and sufficiently deep to make M. Crepin fear lest he should wound 

 the carotid artery in removing it : the other rested on the side of 

 the larynx. Emboldened by the advice of M. Leon, he used his 

 bistoury, and at length extirpated these tumours and some smaller 

 ones in the vicinity, without dangerous haemorrhage. 



The tumour of the eye, now become as large as a hen's egg, 

 proved difficult to remove. It adhered to the caruncle, lower 

 iid, and sclerotic coat, and had buried itself under the eye. Of 

 the triple operation, this, M. Crepin found the most difficult. 

 At length, however, he succeeded without even injuring the ca- 

 runcle. 



