12 MAL-NUTRITION AND THE TEACHER'S 



appeared for considering it a marked sign of defect. Super- 

 numerary ears were represented by outgrowths in front of 

 the tragus, and depressions apparently representing rem- 

 nants of branchial clefts were occasionally seen at the upper 

 termination of the helix. There were two or three children 

 with almost total absence of the concha, which was repre- 

 sented by a cartilaginous growth only. In one girl the ear 

 was displaced several inches by the contraction of a cica- 

 trice. {Report^ p. 22.) 



27. Features coarse, heavy, flat, or lips thick. The features 

 may be large or ill-proportioned. The separate features may 

 not be individually malformed but disproportionate one to 

 another or to the size of the face ; thus the nose may be 

 small, the face large, round, flat, the features rising from 

 the plane of the face. The lips may be thick and protube- 

 rant. {Report, p. 75.) 



39. Palpebral Fissures defective in size or form. The 

 eyelids may be small as well as the palpebral fissures or 

 openings between them both, in their vertical and transverse 

 measurements. In some cases the opening is not sym- 

 metrical, being wider on the inner than on its outer half. 

 The transverse axis may slope outwards and upwards or 

 outwards and downwards, instead of being horizontal. 

 {Report, p. 76.) 



These examples will suffice to give some idea of the 

 manner in which ' Developmental Defects ' were classified. 

 Space does not permit a full description of the ' Nerve 

 Signs ' noted by Dr. Warner, but their short titles will pro- 

 bably be found sufficient. They are : — (43) General Balance 

 defective. (44) Expression defective.^ (45) Frontals 



^ This deserves to be given in full : (44) Expression defective. — Want of 

 changefulness, vacancy, fixed expression. The visible muscular action and 

 balance seen in a face may be described, and still there may be an expression 



