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and the condyloid, and coronoid processes of the os-maxil-
; also there was an opening of communication
lare inferius
from the orbit to the dura mater, by an absorption of part
of the os-sphenoides and of the os-frontis ; but the dura
mater was not injured.
In Mr. Heaviside's museum is the skull of a woman, who
had a disease of the antrum, attended with a very great en-
largement : in the course of the disease an ossification in the
substance of the tumour took place. Mr. Heaviside, who
very kindly favoured me with drawings, is not in possession of
any accurate history of the case. It occupied, in its pro-
gress, about five years. When it had existed about four
years, matter began to form under the skin of the face,
which ulcerating, was attended with a great discharge, under
which the patient finally sunk.
A few years since, I had the opportunity of observing the
progress of an antrum case in a respectable gentleman, Mr.
W. The disease first exhibited itself as a tumour above the
molares, occasioning a slight prominence of the cheek. By
the direction of Mr. Cline, about once a fortnight I made an
incision with a lancet into the tumour, which being attended
with a considerable haemorrhage, greatly diminished the ten-
sion which arose from the fulness of the vessels.
As the tumour increased, an absorption of the maxillary
bone took place, together with the fangs of the teeth, which,
becoming loose, were extracted. At length the tumour be-
came so enlarged as nearly to fill the mouth, and by its pro-
jecting of the cheek, greatly deformed the countenance. By
adhering to the occasional use of the lancet, the disease was
retarded in its progress for about five years, when ulceration
commenced, by the distressing effects of which the life of
the sufferer was terminated in a few months.