Tumours of Facial Bones. 413 



suddenly the haemorrhage which had been so long suppressed burst forth 

 with great violence. It was immediately stemmed by wedging a sponge 

 into the opening of the cheek. However, at midnight it again burst 

 forth, and before any assistance could be rendered he was found extended, 

 pale, and almost lifeless ; the whole face enormously swollen ; the opening 

 in the cheek and the projecting tumour black, like gangrene, and exhaling 

 an intolerable foetor. For the two following days he lay in a state of 

 stupor, and then expired. 



^'Dissection. — The walls of the antrum were completely carious. 

 The tumour was seen arising in a flat membranous expansion from the 

 upper spongy bones, becoming bulky and fleshy in the nostril, where it 

 adhered to its floor, and occupied the top of the" {sic) "equally bulky 

 and bagdike, where it extended across the antrum to the alveolar aperture, 

 where the tooth had been drawn, and to the foramen which it had made 

 near the infra-orbitary hole." 



The tumour has apparently had its origin from the back of 

 the ethmoid and the tissues in the neighbourhood of the spheno- 

 maxillary fissure. From this point it has grown downwards 

 into the naso-pharynx, and forwards through the antrum on to 

 the cheek. Its surface is shreddy and irregular towards the 

 nose, but more uniform towards the cheek. The tumour 

 substance is for the most part soft and diffluent. The tumour 

 has caused absorption by its mechanical presence, but it does 

 not seem to have infiltrated the surrounding parts. 



G. C. 968. 



6. 514. Malignant Disease attacking- Anterior Fossa- 

 Portion of frontal ethmoid and sphenoid bones — in spirit, 

 showing complete absorption of the cribriform palate, by the 

 growth of a tumour from below. B. C. i. 6. M. 40. 



6. 515. Malignant Disease of the Superior Maxilla and 



Nose. — Plaster cast of the right side of the face of a woman, 

 illustrating the above. 



There is a large swelling between the eye and the mouth, 

 involving the side of the nose. Described originally as a 

 "polypus of the nose, projecting to the face." F. P. C. 2831. 



