192 Treatment of Vascular Diseases. 



obliteration of which is followed by the gradual absorption 

 of the swelling. 



Case 4th. — Bhogbutty,aged 40, noticed a year ago a throb- 

 bing pain on the forepart of her right ear, which became 

 more severe and extended, at times to the side of the head. 

 She had an attack of fever, during which she noticed for the 

 first time a small reddish tumour behind the external ear. 

 The fever soon ceased, but the tumour gradually increased, 

 with severe pain in the part extending to the temples and 

 auditory canal. This passage soon became closed up by the 

 same kind of swelling, as had appeared behind the ear, and 

 complete deafness presently followed. From both tumours was 

 secreted a thin ichorous discharge, mixed with blood. The 

 tumour was thin, of an irregular figure, six inches in circum- 

 ference. Its surface was red and irregular, and the skin was 

 so soft and thin, that on pressure being made upon the 

 tumour it bled. The external ear was red and inflamed. 

 The tumour was principally composed of bloodvessels, and 

 was so intimately connected with the carotid arteries as to 

 preclude all hopes of removing the disease by the knife. In 

 this case, as there was surrounding inflammation, I applied a 

 compress, saturated with strong solution of alum, kept cold, 

 to contract the part, and pressure so as to produce irritation 

 in the tumour. In a few days the tumour was found much 

 reduced in size, with a suppurating cavity in its centre. 

 There is every probability of the ultimate cure of this patient 

 by a continuance of the same treatment, but as she found her- 

 self so much better, she discontinued attending the Hospital. 



In other erectile tumours the general plan of treatment 

 may be modified with advantage, as in the following case, 

 which affords proof that the cure is accomplished by the 

 formation of consolidated blood in the vessels. 



Case 5th. — A man was kicked in the ham by a horse ; 

 causing a deep irregular wound, which bled a good deal at 



