Syphilitic Destruction of Face. 313 



6. 279. Syphilitic Disease of the Skull— healed after Loss 

 of Bone about the Nose and Left Orbit.— Anterior half 



of a skull — macerated, illustrating the above. 



The bridge of the nose, nasal septum, and margins of the 

 nasal cavity have been lost, and a single rounded aperture 

 represents the anterior nares. There is a small aperture in the 

 hard palate. The ethmoidal and sphenoidal sinuses are no 

 longer traceable. Their position is now occupied by roughened 

 bone. The antrum of Highmore on each side is nearly filled in 

 by similar roughened bone, but an opening into the frontal 

 sinuses is still present. The outer wall of the left orbit is for the 

 most part wanting, and the disease here seems to have been in 

 progress at the patient's death, although at other places it 

 must have subsided. The interior of the skull is irregular, 

 apparently from development of bone round the blood-vessels. 

 The section of the cranial vault shows an increased thickness 

 and partial filling up of the diploe. B. C. i. 7. M. 19. 



6. 280. Syphilitic Disease of the Nose and Mouth.— Cast 



in glue and glycerine of the face of a woman, illustrating the 

 above. 



The bridge of the nose has been destroyed, and its fleshy 

 part is represented by an irregular scar. The upper lip is 

 greatly scarred. This cast represents the appearance of patients 

 after severe destruction of the nose. 



G. C. 3557. 



6. 281. Syphilitic Disease of the Bones of the Face, with 

 very g'reat Destruction. — Plaster cast of the front of the 



head and neck of a man, illustrating the above. 



Described by Sir Charles Bell as "A cast exhibiting the effects of 

 the disease called noli me tangcre, or rather that kind of it which is called 

 lupus, in -which the face is gnawed or eaten away. The man from whom 

 this was taken was long a patient in the Hospital. When he swallowed, 

 the action of the muscles of the fauces could be observed." 



