Dental surgery, including special anatomy and pathology : A manual for students and practitioners.

  • Sewill, Henry.
Date:
1890
Catalogue details

Licence: Public Domain Mark

Credit: Dental surgery, including special anatomy and pathology : A manual for students and practitioners. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    to be a myxoma springing from the infra-orbital nerve, and invading the orbit and antrum. Fig. 179 is an accurate drawing of the tumour (for which I am indebted to Mr. Bland Sutton). This unique case deserves notice for more than one reason. In the first place, in cases of intense neuralgia in the neighbourhood where every other sufficient cause is absent, it shows the necessity for careful examination of the antrum. A slowly growing tumour of the kind might keep up constant intense neuralgia for years before revealing itself by objective symptoms. In the second place, the case shows the desirableness of put- ting beyond doubt the character of a growth before performing such a serious operation as ablation of the whole maxilla. Had a correct diagnosis been made at an earlier stage in this iustance, it can hardly be doubted that enucleation of the morbid growth would have sufficed. Inflammation of the mucous membrane of the antrum may include the superior dental nerves. Empyema of the antrum, particularly when the cavity becomes dis- tended by accumulation of pus, is mostly attended by severe facial neuralgia and toothache. Disease in the orbit may affect the first division of the fifth. One case is reported by Niemeyer in which a foreign body was imbedded in a branch of the nerve. Syphilitic nodes of the head are accompanied by pain, with nightly exacer- bations of a character similar to neuralgia. It has been suggested and with considerable show of reason, but without absolute proof, that extraction of teeth may act as a cause of neuralgia, particularly in patients with a predisposition to the disease. The operation undoubtedly gives rise to stretching and laceration of the delicate nerve-filaments which enter the tooth; and it is supposed either that changes may afterwards take place in the lacerated nerve-ends such as