The Hillsdale standard. [volume] (Hillsdale, Mich.) 1851-1909, 1853-11-15
Hon. JAMES GUTHRIE, scc'y of Treasury.
AN EXTRAORDINARY SURGICAL OPERATION.

The Paris correspondent of the New Yorl
Courier and Enquirer gives tho following ac
count of very intricate aud remarkable sur
gical performance for tho removal of hare
tumor from tho eye, which we arc sure will b,
read with interest by tho profession:
A man named Jolrin was presented to Tho
Acodemy of Sciences, ON the 9th ult.. whose
recent relief from tumor has excited the won
der and admiration Of all persons conyersan'
with the surgical art. The tumor, hard and
bony, had formed on the inner surface of tho
orbit of the eye, which became gradually pro-
truded as the trmor increased and turned tc
wards the temple, but had not completely lost
the power of vision. although it was no longer
covered and protected by the lids. Chloroform
having been administered, the Surgeon, Mas
sonneuve, dissected off the soft parts down to
the bone, so that the fragments dissected of
carried with them tho orbital muscle and the
pulley oftbe grand orbit. The eye, projected
from its orbit, then hung down upon the cheek
This dissection discovered Ill tho exterior
part ofthe tumor, and a portion of the internal
side incrusted in the internal surface of the or
bit; it filed moro than two thirds of that cav
ity. Its base presented no contraction, and
seemed 20 be combined not only with tho in
ternal orbital surface, but with the surfaces a.
boye and below. Its posterior extremity was
situated to deep to admit of its being circum-
scribed. The anterior part alone offered a
mammilated projection on which it was pos.
siblo TO operate. The narrowness of the cavi-
ty not permitting the use of the saw, the sur
geon had recourse to the pncors; and after
having broken two of Liston's and one of Char
rieres 10 vain upon tho tumor, M. Maisonnenve
at length had recourse to the cold chisol and
hammer After many and intense efforts, the
bonv mass was detached and extracted in one
solid block. In form it resembled pigeons
egg ffattenod-in substance il was hard and
smooth like ivory. The deep cavity which had
been occupied by the tumor, was found to be
smooth and lined with a sort of membrane -
No Communication existed with tho sinus. nor
with the nasal fosse. The tumor being extrac-
ted, the eyo was placed in its precise natural
position, and almost Immediately resumed its
functions. All its movements, even. were
perfectly preserved. The wound was healed by
first intention, and even the traumatic fever
was hardly sensible Tho tumor was of ex.
cessive hardness and density: il was five cen
time;res (about two iuches) long four centme-
tres broad and four centimetres thick. IL adj
hered to tho frontal bone by its upper side, for
an extent Of about two centimotres.
The operation was performed on tho 18th,
of July, and whom tho patient was presented
to tho academy on the 9th ultmo, the cure was
so complete that il was extremely difficult to
decide on which side of tho face tho operation
had been performed. The cicatrice was i'm
and the eye perfectly performed
all its functions without tho slightest deviation
This operation, which occupied an hour and
half, has at onco placed tho uame of Maison-
nenve high among tho most eminent ilustra.
tions of science.