Page 265 - My FlipBook
P. 265
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that the tumour, having acquired a certain
size, an absorp-
tion of the bone is induced by the pressure ; this absorption
commences in the internal part of the cavity, which is grad-
ually rendered thin, until the whole
is completely removed.
The alveolar processes, and even part of the fangs of the
teeth, are absorbed, when the remainder of the teeth becom-
ing loose, irritate the gum, and must be extracted.
The tu-
mour continuing to increase, the cheek becomes much en-
larged, and instead of bone or fungous substance, occupies
the whole side of the face
; at length ulceration takes place
in some part, which, as it increases, is attended with so con-
siderable a discharge of matter, that the strength of the
patient is gradually diminished, and at length the disease
terminates fatally.
The antrum is sometimes most dreadfully affected with
cancerous disease. Happily, these cases are very rare
; the
only specimens that I have seen are in the possession of Mr.
Heaviside and Mr. Taunton. The histories of these cases
are very similar ; the patients were both elderly women ; at
first they complained of pain in the side of the face, extend-
ing up to the forehead, and the eye, and back to the ear
these symptoms continued for about four months, when a
tumour formed near the ear, from which, shortly afterwards,
there was a discharge of very fetid, dark-coloured fluid.
Ulceration then began in the cheek, over the maxillary bone,
by which, after great ravages had been committed, their
strength was gradually exhausted until death terminated
their sufferings. These cases were about fourteen months in
their progress.
In the patient under Mr. Taunton's care, the disease which
was on the right side, occasioned the absorption of the os-
maxillare superius, the os-palati, the os-malae, the os-unguis.
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