TRANSLATIONS FROM CONTINENTAL JOURNALS. 341 
teeth were found completely separated from the alveoli, and 
only attached by a small filament, incompletely disorganized, 
to the sarcomatous mass, which filled the nasal cavity and the 
frontal sinus. The nasal septum was no longer straight on 
the left side, but on the contrary, convex, particularly at its 
junction with the vomer. This convexity was the result of 
the pressure of the polypus on the opposite side. On 
removing the septum, the right nasal cavity was laid bare, 
and the upper turbinated bone found to be intact. The 
mucous membrane, however, was considerably thickened, 
having: small ulcerations on its surface. The inferior tur- 
binated bone, in its upper half, was completely hidden, and 
pushed into the frontal sinus by a tumour measuring fifteen 
centimetres in length and seven in breadth. The anterior 
portion extended to the height of the second molar tooth; 
the posterior portion completely closed the posterior nasal 
cavity, so that there was hardly room to pass the handle of a 
scalpel into the pharynx. By removing the inferior turbinated 
bone, the tumour was completely detached, and the frontal 
sinus was thereby laid bare. The mucous membrane lining 
the sinus was very red, considerably thickened, and covered 
with a great many ulcers. The whole of the inferior parts of 
the frontal, and also of the maxillary sinuses, were ob¬ 
literated, and in their place was found a heterogeneous mass 
of a yellowish white colour, to which were attached the three 
last molar teeth. This mass was a substitute for all the 
bony supports of the sinuses, as well as the alveoli. It had 
also invaded the palate, to the articulation of the maxillary, 
and united with the external sarcomatous portion on the 
outer plate of the superior maxillary which has been men¬ 
tioned above. The alteration in the substance of the bones 
was so great, that the nasal bone and the corresponding part 
of the submaxillary, on being removed, could easily be divided 
at the seat of the lesion into two portions with a single 
cut of the scalpel. One portion comprised the superior 
maxillary, the zygoma, the lachrymal, the last molar tooth, 
and the posterior portion of the palatine bone ; the other, 
the inferior portion of the maxillary, the five first molar 
teeth, and the anterior portion of the palatine bone. The 
alteration followed an eccentric course, for in cutting suc¬ 
cessively small slices from it, it was evident that towards the 
centre, that is, towards the frontal sinus, the tissue was ex¬ 
ceedingly soft and easily separated by the pressure of the 
finger. Further on it was firmer, and not so easy to cut; 
the tissue presenting the appearance of having been formed 
of white and gray fibres crossing each other in all directions. 
