Contributions to the subject of tumors of the orbit and neighboring cavities / by Charles Stedman Bull.

  • Bull, Charles Stedman, 1844-1912.
Date:
1889
Catalogue details

Licence: Public Domain Mark

Credit: Contributions to the subject of tumors of the orbit and neighboring cavities / by Charles Stedman Bull. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    at which time all external swelling of the surrounding parts liad disappeared, the flow of pus was reduced to a few drops, the eyeball had returned to its normal position, and the diplopia had vanished. At the end of the third month the cavity in the orbit had closed, and shortly after- ward the external wound along the orbital margin filled up with granulations, which first ajjpeared from the edges of the opening into the frontal sinus, and gradually the external wound healed under a scab. At the end of the fourth month close observation was needed to discover that an operation had been performed. For about two montlis previously systematic treatment of the nasal c.av- ities had been carried out, with the result of checking all discharge from the nostrils, and converting the patie.it from the state of a mouth-breather to a condition of nor- mal respiration. The patient has not been troubled since. This is one of quite a number of cases operated upon in a similar manner, which have all recovered in a compara- tively short time, and without any bad results. Case III. Tumor of the Maxillary Anlrutn, Nasal J^ossce, Ethmoid Cells, Orbit, and Cranial Cavity; Op- eration for its retnoval J Death. — The patient, James M , aged fifty-one, first consulted me on November II, 1887, and gave the following history: He had always been subject to profuse naso-pharyngeal catarrh, which had been treated in an intermittent and spasmodic manner for a number of years. In February, 1887, he began to suffer from shooting-pains in the left side of the nose, and along the course of the left supra-orbital and in- fra-orbital nerves, and as the weeks elapsed this pain in- creased in severity, and began to be localized in the left orbit. In April there appeared a profuse purulent dis- charge from the left nostril, and from the pharyiix. The pain continued to increase in severity, and early in August the left eye began to protrude from the orbit. The ocular conjunctiva gradually became injected, and the eyelids, particularly the lower lid, became swollen. He at this tima consulted Dr. E. G. Janeway, of New York,