File:Osseous Deformity Case 3.jpg

marked neurotic; bookkeeper; is above the average in intel- 
lect; has a bright, piercing eye. The appearance of the face 
and jaws are about the same as Fig. 55, with this exception, 
that the zygomse are a little more developed. Width out- 
side first permanent molars, 2; outside second bicuspid, 1.172; between second bicuspid, 1.02; height of vault, .59. There 
is a total collapse of the nasal openings, causing him to breathe 
through the mouth since he was four years of age; the two 
sides of the left nostril approximate, v»^hile the turbinated 
bones upon the right side, owing to hypertrophy, fill the 
space. A thickening of the mucous membrane throughout 
the anterior and posterior nares is also observed. This picture 
was taken two years after the contour of the teeth had been 
restored; therefore, the upper lip is more pronounced than in Fig. 55. There is, however, a marked concavity of the face 
between the zygomse and the upper jaw; the upper lip was 
depressed, as in Fig. 55, before the operation. The chest is 
very contracted, with very little or no expansion on inhala- 
tion. He has an anaemic look, due to '.close confinement. The 
father has well-formed jaws, while his mother possesses a 
marked arrest of development of the upper jaw, showing that 
he has inherited this condition from the mother. His father