86 
W. L. WILLIAMS. 
about two years of age, when she began to show symptoms of 
dyspnoea. Examination revealed a moderately firm, fibroid-like 
tumor completely filling the right anterior nares. A country 
practitioner removed a piece of the tumor as large as a hen’s 
egg and reported that a piece of u bone ” had been broken and 
was projecting into the nostril, which he could grasp with for¬ 
ceps but could not dislodge. The removal of a portion of the 
tumor relieved somewhat the dyspnoea, the patient grew to 
moderate size and did ordinary farm work without apparent 
great difficulty and kept in good condition, but continued to ex¬ 
hibit some dyspnoea, nasal discharge and foetor of breath. 
Ten years subsequent to the advent of the disease she was 
on account of recent serious increase of dyspnoea and debility 
presented at the New York State Veterinary College Clinic, 
much exhausted from a journey of 14 miles, showing extreme 
dyspnoea, respiration oral and breath foetid. The right nostril 
was completely occluded by a tumor projecting from behind 
forwards to within two inches of the opening of the nostril, 
while its size was so great that it had pressed the septum nasi 
over against the left turbinated bones, almost entirely closing the 
left nostril and necessitating oral breathing. The tumor was 
dark red in color, firm like a fibroma, smooth on the exposed 
surface and not attached to the adjacent nasal walls for some 
distance from the anterior end. The crown of the first right 
superior pre-molar was worn even with the gums, the other 
teeth being apparently normal. 
After relieving the dyspnoea by tracheotomy, the patient was 
placed upon the operating table and the right nasal wall 
trephined slightly above the juncture of maxillary and nasal 
bones. We were above the tumor and found the nasal passage 
completely filled with decomposing food which had been pressed 
through an opening behind the first pre-molar and its exit an¬ 
teriorly being prevented by the tumor, it accumulated in the 
passage until being completely filled it gradually dropped into 
the fauces as additions were pressed in in front. 
The size and form of tumor having been determined another 
