ACROMEGALY 823 



the infraorbital, canine, and incisor fossae. The antra are greatly reduced 

 in size. The alveolar processes and teeth are approximately normal. The 

 malar bones and zygomatic processes are normal. The palate is markedly 

 deepened, its roof very thin and narrowed in its transverse diameter. The 

 pterygoid processes and palatal bones are thin and delicate. The septum 

 of the nose is thin and markedly deviated to the r,Vht. The turbiriates are 



Fig. 10. Lateral view of skull Fig. 11. Base of skull from below, showing un- 



cap showing thickening of diploe. evenness of bone, especially at the foramen magnum. 

 (Case of Dean Lewis.) (Case of Dean Lewis.) 



relatively thin. The inferior maxilla shows marked progeneum. There is 

 marked elongation of the rami and the angle between ramus and body is 

 widened by 15 or 20 degrees. This has displaced the lower teeth forward 

 for a distance of the width of three teeth. There is moderate bony over- 

 growth of the margins of the symphysis of the chin, with a grooving of the 

 anterior surface of the symphysis. The thickness of the body and the 

 rami is considerably reduced, especially from grooving along the mesial 

 surfaces. The foramina are of approximately normal size. The condyles, 

 necks, ajid coronoid processes are normal. 



