Diseases of the Eye

lliS upper jaw fourtecnl milonltlhs ago. "he lentist waslhled otit the anitrum daily for a week, and after a month constructedi a dental plate fitted with a small obturator, which plugged the hole. TIhe patient got along very well by the aid of this (device until six months ago. Then the plug became a less satisfactory fit-particles of food begani to find their xvay into his antrum, and he began to suffer from a liasal discharge and a (lischarge through the fistula into his mouth, wllicl causedIhim to have a continuously bad taste. \Vhen he remnoved his dental plate, there was a large fistula on the right side of his upper jaw leading into the antrum, in the region of the secondl bicuspid tooth, through which a trickle of pus was oozing. His antrum was irrigated every day for a week, via this orifice, and lhe xvas then admitted to the wards. In this case, since the antrum infection was judgedl to have subsidled, a right intra-nasal ontrostomy was performed at the same time as his fistula was repaired. Four clays after the combined operation his antrum was gently irrigated through the antrostomy openinig-onily a few shreds of debris and blood-clot were recovered. TIhis was repeated three times, at initervals of two (lays, and again just before he wxas (lischarged from the hospital soundly healedl, sixteen days later, o)n which last occasion the washitngs were quite clear.