Encysted osseous tumors, or a thin secreting membranous cyst : developed in cancellous structure of bone and surrounded by a thin bony wall / by Alden March.

  • March, Alden, 1795-1869.
Date:
1856
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Licence: Public Domain Mark

Credit: Encysted osseous tumors, or a thin secreting membranous cyst : developed in cancellous structure of bone and surrounded by a thin bony wall / by Alden March. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    and a poultice was applied. In the course of a short time a free suppurative action was established in the interior of the cyst, which was frequently washed out with a syringe. A slight but unimportant blush of inflammation and swelling appeared on the cheek, in the neighborhood of the opening, and the pain which was at first experienced gradually subsided. The calibre of the sac also palpably diminished. So satisfactory was this progress that I did not attempt the employment of artificial pres- sure, being satified that the compression exercised by the masse- ter on one side and the pterygoids on the other would suffice to accomplish the obliteration of the cyst. I had the satisfaction ultimately of witnessing this result, and the patient left the hos- pital quite cured, a small cicatrix alone marking the site of the incision. Treatment.—The rule of practice in the treatment of ordinary encysted tumors hds long been established; it is founded on true pathological principles, that of either changing the action of the secreting cyst, or of destroying it at once. In the serous cyst of hydrocele, if a radical cure is attempted, the perverted action of the cyst is arrested by restoring the loss of balance of power be- tween secernents and absorbents, or by obliterating the cavity through the agency of inflammatory action and adhesion. In an atheromatous, as well in a melicerous tumor, a radical cure may be effected by removal of the secreting cyst, or by convert- ing it into a pus-secreting membrane by which the cavity may be obliterated by the process of granulation and cicatrization. Upon such principles we base the treatment of encysted osse- ous tumors. Dupuytren and others have tried, First, puncture and injec- tion of various irritating agents. Second, seton. Third, inci- sion, and stuffing the cyst with lint. Fourth, incision, and removal of the membranous sac; and, Fifth, amputation of the diseased portion of the jaw. First. The thinnest part of the bony or fibrous wall should be selected for puncturing, and the opening should be made on the inside of the mouth, and sufficiently large to permit the injected