in England of English parents. Father sailor. Father died of 
inflammation of bowels; mother, rheumatism of the heart. 
No history; came to America fifteen years ago. Is in the 
harness business; a man of excellent habits. He is a 
neurotic. The bones of the face are arrested in their develop- 
ment. The line drawn from the bridge of the nose to a point opposite second molar produces a marked depression. There 
is a marked arrest of the lower jaw. The anterior surface of 
the lower centrals occlude at the first bicuspid; this gives 
the appearance of no chin. All the teeth are present in the 
upper jaw, the width of which is 1.75 outside first permanent 
molar; it is also a saddle-shaped arch. In order that the 
jaws may accommodate all the teeth, they have pushed the 
alveolar process and jaw-bones forward. This man has been 
a"" mouth-breather all his life; the mouth, therefore, has 
always been open; the result is that the teeth and alveolar 
process have grown downward. Although the lips are long enough, he cannot close them, owing to the excessive develop- 
ment of the teeth and alveolar process. The alveolar process 
and teeth of the lower jaw are normal in development. The 
height of vault is .82 (this is an unusual high vault). The 
alveolar process is large and thin. This nicely illustrates 
how high vaults are produced. The cheek-bones are also 
arrested, but not to the extent of some. The eyes are deeply 
set; the supercilliary ridges very prominent. The nose is very 
long and thin; the sides of the nose approximate, and there is a marked thickening of the raucous membrane; nose- 
breathing is impossible; the chest is contracted, and the 
mouth is continually open. The head is microcephalic; the 
forehead low; the posterior part of the head is very prominent;