Successful removal of two osteomata of the orbit : one originating in the frontal, the other in the ethmoidal cells with a history of osteomata of the neighboring pneumatic cavities of the orbit / by Joseph A. Andrews.

Andrews, Joseph Andrew.

Date:: 1887

Credit: Successful removal of two osteomata of the orbit : one originating in the frontal, the other in the ethmoidal cells with a history of osteomata of the neighboring pneumatic cavities of the orbit / by Joseph A. Andrews. 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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$slightly somnolent. No vomiting. Patient did not be- gin to improve until ninth day. Got up on nineteenth day, and was discharged, cured, thirty-one days after the operation. The movements of the right eyeball were normal, vision intact, but the globe had not completely returned to its normal position, as it was situated on a lower plane than that of left eye. The operation was com- pletely successful. The tumor was formed of a shell of compact bone-tissue, its interior filled with spongy bone- tissue. No trace of a capsule of cartilage. Case XV.—Banga {Deutsch. Zeitschr. f. Chinirgie, 1874, iv., p. 486). A youth, aged eighteen, had received a blow on the left eye with the handle of a whip, six years previous to his consulting Professor Socin, in Basle. Three years later he first noticed that his left eye was swelled^ and was more prominent than the right, which continued without pain until his visit to Professor Socin's clinic, at which tune the left eye was pushed forward, downward, and outward by a hard tumor at the upper orbital margin. Left upper eyelid was greatly swelled and discolored from distended veins, and covered the tumor entirely. The tumor was hard as stone, innnov- able, and painless, with a horizontal diameter of 5.0 ctm. ; vertical, 4.5 ctm. ; conjunctiva, bulbi, and palpe- brarum only slightly injected ; cornea slightly cloudy, hence a good ophthalmoscopic examination was not ob- tainable. Vision. L. E. = Excursion of the eyeball restricted to slight elevation, rotation, and downward motion. Eyelids almost immovable. Vision of R. E., normal. The conjunctiva became slightly injected as soon as right eye was uncovered ; however, the right eye became more injected, and watered. No cerebral symptoms ; also no signs of growth of tumor into nasal cavities. At the operation, Professor Socin found that the superior oblique muscle had made a groove into the tumor. The tumor was readily loosened with mallet and chisel and lifted out with bone-forceps. Roof of orbit was intact. Exophthalmos was reduced to about$