Treatise on diseases of the bones / by Edward Stanley.

  • Stanley, Edward, 1793-1862.
Date:
1849
Catalogue details

Licence: Public Domain Mark

Credit: Treatise on diseases of the bones / by Edward Stanley. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    within it. Only in the horizontal posture, and with the opposite cheek downwards, will the aperture in the antrum be favourably situated for the passage of fluid into the nose. In some instances, from the dis- position of the pituitary membrane, the aperture is very oblique. There may be one or more small apertures in the lower wall of the antrum, communicating with the sockets of the molar teeth. The membrane lining the antrum is thin, loosely adherent to the bone, but little vascular, and smooth on its free surface; its characters more resemble those of serous than those of mucous membrane. Although, in the operation of taking away the superior maxillary bone, the proceedings are necessarily varied according to the extent of the disease, it may be well to mark the lines of connexion of the supe rior maxillary with the adjacent bones. The posterior part of the superior maxillary bone is simply in contact with the front surface of the pterygoid process of the sphenoid bone. The lines of firm osseous connexion of the superior maxillary with the adjacent bones are, infe- riorly and mesially, by its alveolar and palatine processes, with the opposite bone; posteriorly, by its palatine process, with the palate bone; superiorly and internally, by its nasal process, with the nasal, frontal, and lachrymal bones, also by its orbitar process, with the lachrymal and ethmoid bones ; superiorly and externally, by its orbitar and malar processes, with the malar bone. In explanation of the fact, that morbid growths arise in the an- trum more frequently than in any other nasal sinus, its direct connexion with the sockets of the molar teeth has been usually referred to. Certainly, in a large proportion of cases, disease in the antrum can be traced to the irritation from decayed teeth, or to the rude and unskilful efforts of dental surgery. In a case which occurred to Mr. Luke, at the London Hospital, a fibrous tumor, filling the antrum, originated in the alveolar process, and within the base of the tumor, a black carious tooth was imbedded*; and, in other instances, the origin of the tumor in the antrum in some source of irritation connected with the teeth, was probable, from its being attached only to the lower and front wall of the antrum, where are the sockets of the molar and bicuspid teeth. Further, it is to be observed, that morbid groAvths mostly arise from either of the lateral parts, not from the front of the jaw; a fact which might be explained by the consideration that irritation more frequently * Plate 16, fig. 8.