curiously free from eyelashes, eyelids, or brows. The
cornea threatened to slough. There was double harelip on the left side;
the second and third fingers of both hands were webbed for their whole
length; the right foot wanted the distal phalanx of the great toe and
the left foot was clubbed and drawn inward. The child swallowed when
fed from a spoon, appeared to hear, but exhibited no sense of light. It
died shortly after the accompanying sketch was made.
Occasionally a deficiency in the osseous material of the cranium or an
abnormal dilatation of the fontanelles gives rise to a hernia of the
meninges, which, if accompanied by cerebrospinal fluid in any quantity,
causes a large and peculiarly shaped tumor called meningocele. If there
is a protrusion of brain-substance itself, a condition known as hernia
cerebri results.
Complete absence of the inferior maxilla is much rarer in man than in
animals. Nicolas and Prenant have described a curious case of this
anomaly in a sheep. Gurlt has named subjects presenting the total or
partial absence of the inferior maxilla, agnathes or hemiagnathes.
Simple atrophy of the inferior maxilla has been seen in man as well as
in the lower animals, but is much less frequent than atrophy of the
superior maxilla. Langenbeck reports the case of a young man who had
the inferior maxilla so atrophied that in infancy it was impossible for
him to take milk from the breast. He had also almost complete
immobility of the jaws. Boullard reports a deformity of the visage,
resulting in a deficiency of the condyles of the lower jaw. Maurice
made an observation on a vice of conformation of the lower jaw which
rendered lactation impossible, probably causing the death of the infant
on this account. Tomes gives a description of a lower jaw the
development of the left ramus of which had been arrested. Canton
mentions arrest of development of the left perpendicular ramus of the
lower jaw combined with malformation of the external ear.
Exaggerated prominence of the maxillaries is called prognathism; that
of the superior maxilla is seen in the North American Indians. Inferior
prognathism is observed in man as well as in animals. The bull-dog, for
example, displays this, but in this instance the deformity is really
superior brachygnathism, the superior maxilla being arrested in
development.
Congenital absence of the nose is a very rare anomaly. Maisonneuve has
seen an example in an individual in which,
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