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as the details would present mere repe (titions, we refrain from giving them. The Imedicint has certainly sustained in hishands a high character. The judicious di-rections, however, which Mr. TAYLOR affix-ed to the cases published by that gentlemanin a recent Number of THE LANCET, shouldbe carefully observed by those who iraketrial of the creosote.

. LITHOTOMY.

Thomas Smith, aged 6½ years, was ad-initted, Oct. 15, under the care of Mr. Lis-TON. He has manifested symptoms of stonefrom infancy, the most marked symptomsbeing a pulling at the prepuce, and violentpain while making water, which dribblesfrom him, soiling his clothes. During thetime of micturition he is very restless, toss-ing about in every direction. These symp-toms very much increased as he becameolder. Mr. LISTON having sounded himand detected a stone, the boy’s friends being

_ anxious that the operation should be per-formed immediately, he was cut on theday of admission. The boy being held be- tween the knees of an assistant, a smallcurved staff, with a groove a little on oneside, was introduced, and held firmly byanother assistant, towards the arch of thepubis. The incisions were made in theusual way with a common dissecting scal-

pel, and the bladder was reached. The staffwas then withdrawn, and the stone extractedwith a small pair of forceps in forty secondsfrom the first incision. On the 21st he was

doing exceedingly well.

OPERATION FOR CATARACT.

Margaret Lake, aged between seventyand eighty, presented herself at the hospitalon the 15th of October with cataract ofboth eyes. Mr. LISTON operated on the

right eye, the pupil being previously di-lated, by dropping in a little solution of ex-tract of belladonna. Having covered theleft eye with a bandage, he made steady theright one with his left hand (Mr. L. fre-

quently impresses on the pupils the neces-sity of practising with both hands alike, as,for instance, in this operation on the left

eye, in cutting for fistula ani on the rightside, and various other operations), he thenintroduced the cataract-needle with his

right hand, about a line or so from the

junction of the sclerotic coat with thecornea, and reclined the cataract, gentlydisentangled it, and withdrew it cautiouslyThe eyelids were then closed, and a smallpiece of lint dipped in cold water, and E

bandage, were applied to the eye. Mr. Lis-TON remarked, that in the generality o

cases this was the preferable operation.

ST. BARTHOLOMEW’S HOSPITAL.

OSTEO - SARCOMATOUS TUMOUR OF THE

LOWI:R JAW- OPERATION-EXCISION

OF THE BONE.

ON Satur,lay, Oct. 17, an interesting-look-ing girl, of about sixtcen years of age, wasled blindfolded into the operating theatre.On being secured on the table, the diseaseevinced itself by a tumefaction in the situa-tion of the left side of the under jaw-bone.Mr. STANLEY intended, in accordance withthe joint approval of his colleagues, to re-move the morbid growth by extirpation ofthe diseased bone. He commenced by anincision extending from the symphysis ofthe chin to the articulation of the jaw, onthe left side, in a curved direction, accordingwith that of the shaft of the bone. On re-

flecting the integument, the external facialartery was wounded. This was secured by

. Mr. LA-,VRliNCL, who assisted the operator,’ wlio then proceeded to dissect cautiouslythrough the buccinator muscle and the

coverings of the maxillary bone, about aninch interior to the duct ot the parotidgland ; in accomplishing this, several smallbranches of the external maxillary arterywere divided, and successively secured bythe assistant. After carefully exposing thewhole shaft of the bone to above its angle,Mr. STANLEY separated the muscles whichwere attached to its inferior margin as wellas its internal surface, by means of a com-mon scalpel; and having thus cleared awayall the soft parts, the morbidly enlarged -

bone formed a conspicuous object. At abouta quarter of an inch on the right side of thesymphysis, Mr.S. commenced to saw throughthe jaw-bone with a small straight saw, andafter making a groove in it, the short boneforceps were applied, but ineffectually. On

exchanging them, however, for others withlonger handles, the bone was at once cutthrough. A similar process was adopted atthe angle, with the same success, and thedetached portion of bone was then removedby separating the lingual and other muscu-lar branches which confined it to the soft

parts in its neighbourhood- After securinga few bleeding vessels, and cleaning the

parts adjacent to the face and the wound,the edges were approximated, and confinedby means of three sutures and some strap-ping. The poor girl bore the operationwith admirable fortitude, though it lastedmore than half an hour.

After the removal of the patient, Mr.STANLEY came forward and stated that thiswas a case of osteo-sarcoma, originating inthe cancellous structure of the inferior max-

illary bone, and by its growth displacing thetwo lamellæ which composed its externaland internal surfaces, thus forming the tu-mour which he had removed by the opera-

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tion. He did not consider this morbid de- velopment to be of a malignant nature, inas-much as it wanted those symptoms which_ usually attend that class of diseases. Some

practitioner, who had visited the patient inthe early stages of the disorder, plunged aknife into the tumour, but no bleeding re-sulted, nor did the formation of the tumourcause any pain or constitutional derange-ment. Still, however, it was desirous inthese cases to practise extirpation, in con-sequence of the rapid growth of this fungus,and the displacement of parts occasionedby it.A section of the morbid parts was made,

and the specimen handed round to the pu-pils. It presented a fibrous structure, of aradiatcd’form, including in its interstices amatter resembling albumen. The patientis doing very well.

STRANGULATED FEMORAL HERNIA. —SPHACELUS OF THE INTESTINE.—DEATH.—Mary Bradshaw, ætat. 59, whose appear-ance rather indicated the age of fourscore

years, was brought into the hospital on Sun-day the 6th of September, for the relief ofan incarcerated femoral hernia, which hadbeen in a state of strangulation for a periodof ten days.

STRANGULATED FEMORAL HERNIA.—SPHACELUS OF THE INTESTINE.—DEATH. —Mary Bradshaw, aetat. 59, whose appear- Iance rather indicated the age of fourscoreyears, was brought into the hospital on Sun-day the 6th of September, for the relief ofan incarcerated femoral hernia, which hadbeen in a state of strangulation for a periodof ten days.

Air. LLOYD, considering all the circum-stances of the case, determined to operate atonce, and therefore at once resorted to theknife. On an exposé of the contents of thesac, the intestine was ascertained to he in astate of gangrene, and adherent to the mouthof the crural ring. Under these prejudicialcircumstances, it was determined merely todivide the stricture and permit the mortifiedgut to remain undisturbed in the sac. The

edges of the wound were therefore approxi-mated, and the patient was removed to b( d,with, however, an exceedingly unfavourab leprognosis. The pulse gradually degei e-rated, and on the succeeding Wednesdayevening, although brandy, carbonate ofammonia, strong broths, eggs, &c., were

liberally supplied, the patient expired. Ona post-mortem investigation the peritoneumexhibited decided evidence of inflammatoryaction having pervaded that tissue; the

strangulated intestine was in a state of com-plete sphacelus, and had become adherentto the interior of the sac and the mouth o’the ring.

ST. GEORGE’S HOSPITAL.

DISEASE OF THE ANTRUM.

A CASE of this disease was admitted intothe hospital a short time since, under thecare of Sir B. BRODIE. Eight years previousto his admission, the patient was stated tohave received a severe fall, and been bruised

on the left side of his face and nose. Dur-ing the two last years the swelling and painof the part had increased, and several mi-nute portions of the bone of the antral cavitywere discharged at different periods throughthe left nostril. The treatment of the casewas very simple. An opening was madethrough the superior maxillary bone overthe alveolary processes into the cavity ofthe antrum. A probe was introduced, anddead bone was felt. The day after this ope.ration the man was in a high state of febriledelirium, which was subdued by rest andantimonials, combined with Dover’s pow-der. During the man’s stay in the house,Sir B. BRODIE (at the request of his pupilsthat he would render the case one of instruc-tion) made the following clinical observa-tions thereon:-

" Here, then, gentlemen," he remarked," we have an instance of injury of the face ; ;

at the end of eight years afterwards, por-tions of dead bone are discharged fromthe neighbouring parts, and, I may add,that they will certainly continue to hedischarged for some time to come. Thiscase leads me to speak to you of diseases ofthe antrum generally, and to draw your at-tention to the present patient, whose cir-cumstances are interesting to the surgeon.No clear account is given of the diseases ofthe antrum by surgical writers.’’- Suchcases are rare; I have, however, seen se-veral instances of inflammation of the supe-rior maxillary bone. I believe that in thesecases the inflammation is not dependent on

local causes, but is produced and caused inthe same manner as rheumatic inflamma-" Inflammation of the lining membrane ofthe antrum may terminate in suppuration.The cavity of the bone may be transformedinto an abscess, and pus may be discharged.I conclude that such must have been thecase here. Generally, when the diseaseruns to this height, the cause is local, andis frequently to be found in a diseased tooth.A person has a bad tooth, a malar, a cuspi-datus (if the fang be large), or a bicuspis.He does not like to lose it, and he puts upwith the pain and inconvenience until thepulp of the tooth becomes dead and irritatesthe membrane lining the alveolus, like apiece of dead bone, sooner or later. Inflam-mation and suppuration take place, and thematter does not escape. It may presentunder the gum, but sometimes it is lodgedat the bottom of the alveolary socket. Thebone above is absorbed, the periosteal liningof the alveolus, and the membrane liningthe antrum, ulcerates ; the bone becomesdead, matter collects in the cavity, and thepatient suffers great torture. When theantrum is affected, there is a dull constantsense of pain over the part, with lancinating

Some of them will stare at this.