Past Medical History Nothing value. Physical Examination There was complete anesthesia over the second division the fifth right cheek, right lower lid, right side nose, right upper lip.
Blood could drawn with a pin point with no pain whatsoever. The line demarcation was sharp between this region and distribution the first and second divisions. There was a hard mass over the lower right antrum about the size a walnut. Neurological inspection gave no evidence tabes.
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Course and Therapeutics Immediate operation was done under local anesthesia. The antrum was entered through the canine fossa.
What was thought a tumor was evidently only bone proliferation from a much thickened anterior wall. The antrum was filled with degenerated and polypoid tissue. This having been evacuated and the anterior wall largely removed, an opening was made into the nose Caldwell-Luc operation and the opening into the mouth closed. Specimens this bone were sent Dr. James Bullitt, pathologist at the State rniversiiy. His report quoted verbatim. The sections show nothing but essentially normal bone, but part this somewhat denser in structure than one expects find in the wall the antrum. There no sign tumor and no inflammatory exudate, but from the density the bone I assume that there has probably been some previous inllammation that has caused the formation this eburnated bone.
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