A treatise on the diseases and surgical operations of the mouth, and parts adjacent : with notes on interesting cases, ancient and modern / by M. Jourdain ; translated from the last French edition.

  • Jourdain, M. (Anselme Louis Bernard Bréchillet), 1734-1816.
Date:
1851
Catalogue details

Licence: Public Domain Mark

Credit: A treatise on the diseases and surgical operations of the mouth, and parts adjacent : with notes on interesting cases, ancient and modern / by M. Jourdain ; translated from the last French edition. 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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    possibly prove efficient. This dormant constitutional tendency- seems, as it were, to lie in wait for certain times and changes in the system favorable to its local development. Case VI. Obscure Fungus of the Right Sinus.—In 1758, M. de V. F., of Strasbourg, aged 76, suffered much pain from the right upper first molar, which, though loose and elongated, was sound. Its extraction relieved him, but there followed a swelling of the gum. Two years after, this swelling began to enlarge, and extended as far as the left central incisor, causing the bicuspides, canine and incisores to loosen, and encroach- ing inward upon the palate; the patient sought my advice. On the site of the first molar was a bluish spot, and the alveo- lus was as large as when the tooth was extracted. Fluctuation gave evidence of the presence of some fluid in the tumor. As he suffered no pain, his surgeon, M. Pibrac, recommended va- rious gargles, but they were of no service. A year after, he consulted me again. The tumor had much enlarged, and was not, in my opinion, confined to the gum, but would be found to have some connection with the sinus. On the 12th of November following, he presented himself for operation. The tumor in the palate was the size of a pigeon's egg, without heat or pain; the alveolar border at least an inch wide, and between the canine and bicuspis was an ill-looking fungous excrescence about the size of a large pea. The nasal secretion was slightly purulent, and the eye a little drawn and troubled with occasional pricking sensations ; the cheek swollen but not discolored. The tumor, when opened, discharged a thick, bloody and very offensive fluid. The antral membrane was fungous and devoid of sensibility ; and from this cavity I drew a piece of detached bone, which proved to be a necrosed fragment of the maxilla—probably of its alveolar process. The injections passed readily into the nose, showing that communi- cation to be free. Nov. 26: I removed the canine and bicuspis, in consequence of their extreme looseness. The fang of the former was very much roughened and diseased, that of the lat- ter sound. On the next day a large fungous ulcer appeared over these teeth sockets. To avoid an operation on so old a 14