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.