LII INTRODUCTORY. 



Fistula lachrymalis ; epiphora ; closure of duct or distention of sac. 



Ptosis of right eye-lid ; incessant spasmodic motion of lids ; adhesions of eye-lids ; 



trichiasis of long standing ; large encysted tumors. 

 Chronic abscess of the orbit. 



C. — Affections of the olfactory apparatus. 



Cancer of the integument ; noli me tangere ; erosive ulcers of the follicles. 

 Deformities of the nose greatly disfiguring the face, altering the voice, and impeding 



respiration ; loss of the whole or part of the nose. 

 Affections of the septum, permanent or chronic, sufficient to close the nasal fossae ; 



polypus, if large enough to produce great deformity and embarrassment of 



respiration. 

 Ozsena ; purulent and fetid discharge from old intractable ulcei'ations. 



D. — Affections of tJie mouth and gustatory apparatus. 



Hare-lip, simple, compound, or complicated. 



Loss of the whole or pai-t of either lip ; unsightly mutilations of the lips from wounds, 



burns, or disease. 

 Loss of the whole or part of either maxilla ; un-united fracture ; ankylosis. 

 Deformities of either jaw, interfering with mastication, speech, or the tearing of the 



cartridge. 

 Loss of the incisor and canine teeth of both jaws. 

 Cancerous or erectile tumors ; cicatrices producing deformity. 

 Mutism. 



Hypertrophy or atrophy of the tongue. 

 Stammering or stuttering, if inveterate. 

 Mutilation or partial or total loss of tongue. 



Adhesion of tongue to parietes of mouth, or other adhesions preventing free motion. 

 Mahgnant disease of tongue ; clu-onic and inveterate ulceration. 

 Congenital fissure of bones of the palate, or fissure produced by disease. 

 Salivary fistula ; bucco-nasal fistula. 



Chronic engorgement of the tonsils, sufficient to interfere with deglutition or phonation. 

 Great deformities of the face and loss of substance of the cheeks. 



SECOND CLASS. 

 A. — Head and spinal column. 



Imperfect ossification of the bones of the cranium, evidenced by the persistence of 

 the fontanelles, and sometimes separation and mobility of the sutures. 



Monstrosity in size of the head ; considerable deformity, the consequence of fracture. 



Serious lesions of the skull, the consequence of complicated wounds, considerable 

 fractures, or the operation of trephining ; caries and exfoliation involving the 

 whole tliickness of the bone. . 



Injuries of cranial nerves affecting their functions. 



