W. M., twenty-eight years, came under my care yesterday on account of a sudden swelling of his eye which had taken place two hours previously, and which had occurred suddenly as he was blowing his nose without a handkerchief, and which gave him the impression as if something were running out of his eye. The swelling crackled in a manner characteristic of emphysema, and the first suspicion was that he must have had some disease of the orbital wall of the anterior ethmoidal cells, and that on examination there would be found some evidence of ethmoidal disease. None such was to be elicited, and the only history obtainable was that he received several kicks on the nose and back of the ear two months ago. This has probably resulted in a fracture of the orbital wall of certain of these cells. PALMER. =Lack, Lambert.—Case of Nasal Polypi, with Suppuration and Absence of Maxillary Sinuses.=—_Jour. of Lar., Rhin. and Otol._, April, 1900. A man, aet. twenty-eight years, complains of nasal obstruction and purulent discharge, with a disagreeable odor in the nose. The polypi having been removed, the pus appeared to flow from under the anterior ends of the middle turbinates. After wiping the discharge away and bending the patient’s head forward, it reappeared in large quantity. On transillumination the cheek on both sides appeared quite dark, and the patient had no subjective sensation of light. The diagnosis of antral suppuration was now considered almost certain, and the patient was advised to have both antra punctured from the alveolar margins. This was accordingly attempted under gas, but although the antrum drill was forced in for its full length, no cavity was reached. Puncture from the inferior meatus was next attempted, and considerable force was used in two different points; but with no better result. It would seem therefore that the antra must be very small, if not entirely absent. _Discussion._—Mr. Spencer thought it might be one of those convoluted inferior turbinals which form a gutter in which pus collects. The majority considered it suppuration in the ethmoidal region. PALMER. =Lawson, Arnold.—Cicatrix Horn Growing from the Cornea.=—_The Lancet_, February 3, 1900.