Excision of the Superior Maxillary Bone

By J. Fayrer, M.D., C.S.I. OkiioY Chuhn Biswas, a Bengalee ryot, aged 25 years, was admitted on the 1st November, 1869, with a tumour of the right superior maxilla, which he stated to be of about a year's duratiou. He -was a slight, rather delicate, but not unhealthy-looking person, and apparently free from malarious poisoning. The disease commenced in the gum, and growing rapidly, two molar teeth were removed. Inflammation, suppuration, and an abscess in the antrum followed, and a sinus formed in the cheek, which still discharges pus. The tumour seems to have grown rapidly, involving the entire maxilla and part of the malar bone. On examination it presented the appearance of a firm fibrous growth encroaching on the palate of that side, and distending the cheek; the eye was also somewhat pushed upwards, and the nose pressed to the opposite side. The alveolus presented the appearance of a dense fungoid fibrous-looking growth, depression marked where the teeth had formerly been. Be could not breathe through the right nostril, and deglutition had become painful and difficult.