_An Advanced Case._—CASE V.—A man, a native of Appolonia, about forty years of age, stated that the swellings began with pain in the nose after yaws, when he was about six years old. They grew steadily and slowly till eight years ago, when they stopped, and they have not increased in size since then. On inspection there were two oval swellings situated on each side of the nose, the left measuring two and a half inches by one inch and the right three-quarters of an inch by half an inch. They projected upwards over the orbit, the long axis in each case being directed downwards and outwards. They did not project into the mouth, the nose, or the orbit, and the nasal duct was free. They were attached to the nasal bones, the nasal process of the superior maxilla, and to the maxilla itself. The skin over the tumor was normal and it was freely movable. The patient complained of headache and found that the swellings interfered with his vision considerably, particularly on the left side. He refused to submit to operation. _An Asymmetrical Case._—CASE VI.—An Ashanti boy, aged six years, from Donkeo Inquanta, had yaws, and while suffering therefrom, just a year previous to his consulting me, the swelling appeared on one side of the nose, and had been growing ever since. There was no sign of any lump on the other side. He was advised to go to Kumassi for operation. THE TREATMENT. I have attempted to reduce these swellings by the administration of iodide of potassium, but have not met with any success. The only treatment appears to be the removal by operation. The method I adopt is as follows. The eyes being protected by a pad over each, an incision is made along the long axis of the tumor and the skin is freed on all sides so that its base is exposed. If the swelling is very small in a child it may be necessary to make a cross cut through the skin as well, in order to get sufficient room to work in. The bone being exposed, a portion of the swelling can easily be cut away by bone forceps, because it is very soft. If large, a few nicks with a Hey’s saw are found most useful in enabling a large portion of the mass to be removed entire. After as much has been removed as possible with the bone forceps, more may be got away by means of the gouge or the gouge forceps or the nibbling forceps. I have experienced difficulty in removing the deeper portions, particularly those close to the orbit. I need hardly say that in the latter the eye has to be carefully guarded from injury. After removal of the bone the wound is well washed out with an antiseptic lotion. The bleeding is slight and is easily controlled by pressure. The wound is closed by a continuous suture and it heals up readily. THE MORBID ANATOMY.