depressed into the mouth and enucleated. I then attempted to enucleate from the antrum of the right side the remaining portion of the tumor; this resulted in removing the larger portion of the right maxilla, as the walls of this bone had almost entirely disappeared, there being only a thin wall of the alveolus remaining, two molar teeth remained in the deossified alveolus, which dropped down the throat, nearly producing strangulation; I seized the inner angle and stitched it up to a portion of the membrane from which the tumor of right side was detached. The integument was united with the interrupted suture.

There was considerable hæmorrhage which was controlled with ice and iced water. After the patient was removed to his bed there was still too much oozing of blood. To stop it iced water was injected and a bladder containing pounded ice was applied over the left side of the face. After two hours there was no bleeding. Morp. sul., grain, ammonia carb., 5 grains, whisky, oz., was given every two hours. At 8 P. M. morphia was omitted and the carbonate of ammonia and whisky continued every four hours.

27th, 7 A. M. Has slept much, no pain, pulse 100, bowels freely moved spontaneously; copious discharge of a ropy mucus tinged with blood.

6 P. M. No change in condition since morning. Beef essence and the whisky has been administered by a syringe with a long nozzle carrying the fluid back into the fauces.

28th, 7 A. M. Has slept well, the discharges are offensive, and the following is ordered:

R Liquor soda chlorinat. ounce. Aquæ distillat. 8 ounces; to be used freely in washing the cavity.

Nov. 1. The conditions all favorable.

Nov. 2d. Considerable febrile excitement. Bowels confined.

R Fl. Extr. Sennae, 1 drachm every 4 hours until effective. Also,

R Potass. Chlorat., 1 drachm.

Quiniae Sulph., 16 grains.

Tinct. ferri Muriat, 2 drachms.
Aquæ font.

Syrup Simpl., each 2 oz.

Misce-Sig., 2 drachms, 3 times a day.

Nov. 4th. Patient much improved; stitches removed from wound; adhered by first intention.

Nov. 8th. Condition excellent. From this time there was a steady improvement until 23rd of November, when the patient was discharged.

I am indebted to J. M. McCormick, M. D., Resident Physician of Cincinnati Hospital, for the care of the patient and the record of the case. You will notice that the patient, whom I now present to you, is but slightly disfigured. The molar bones and the nasal bones are all preserved, as, also, the soft palate with a large portion of the covering of the hard palate. There is but a small hole in the roof of the mouth. This serves for a fixed point for the plate of teeth, which Dr. J. Taylor, a young and promising dentist of this city, has provided for the unfortunate man. On the upper plane of this plate is attached a piece of vulcanite, curved so as to hook into the orifice in the roof of the mouth.

There is no evidence of a malignant character in the tumor.

The patient is entirely well, August, 1871.

NOTE. The cuts of the tumor here presented, exhibit in No. 1, the front aspect, and in No. 2 the buccal surface.