EXTRACTS FROM GERMAN PERIODICALS. 
403 
lating surface about the extent of a quarter dollar; all other 
Drtio'ns of the formation were warm, hard and painful. Gen- 
*al condition healthy. 
J. diagnosed an abscess, but did not venture a solution of 
5 origin. Puncture of the aforesaid soft spot of the tumor 
Derated about one pint of a healthy, yellow, odorless pus. 
After the incision, I changed his diagnosis to a suppurative 
ematoma. The wound readily healed with the diminishing 
size of the formation ; later the general health was affected, 
s this swelling receded, there appeared upon the inner sur- 
ce of the left inferior maxillary branch, a hard oblong tumor 
tending upward and inward, displacing the larynx and 
larynx. Also in the parotid region could a swelling be de- 
rmined, directly superior to the larynx, which interfered 
•preciably with respiration. The nature of these swellings 
ould not be determined. 
The animal became debilitated and continued to emaciate ; 
ifficult deglutition associated itself with the dyspnoea, the 
:rmation increased in circumference, until finally a trache- 
lomy was done as a last resort. 
Two days later the patient expired ; a great quantity of 
Dod escaped from the nose, and later occluded the nasal 
enings as a coagulated mass. 
The post-mortem exposed thickening of the pharyngeal 
jcous membrane, with hypertrophy of the sub-mucosa, in 
nch numerons vessels had developed and rendered soft, 
djacent to the swelling on the submaxillary bone, the con- 
rctive tissue sensibly thicker. The cavity of the first ab- 
2 ss had been entirely effaced. Head of the trachea and 
;ophagus to right of the median line and surrounded by 
undant tissue. Above the latter on the left side, and be- 
een the posterior nares, a large blood coagulum, sur- 
iinded by a thin coating, which included some of the styloid 
nes. Each surrounding wall of the tumor was connected 
th the inflamed periosteum of the inferior maxilla. The left 
loid bone, thickened by ostitis and a periostitis, was in- 
ded in the above clot. The right styloid bone, and right 
inch of the jaw were normal. The coagulum was softer 
