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February 7, 1925


Author Affiliations

Professor of Surgery, St. Louis University School of Medicine ST. LOUIS

JAMA. 1925;84(6):419-421. doi:10.1001/jama.1925.02660320011004

Miss T., aged 22 (Fig. 1), consulted me for facial deformity in July, 1922, having been referred by Dr. R. J. Lynch of Des Moines, Iowa. She had been engaged in teaching, but had given up this occupation because her deformity exposed her to ridicule. She was extremely down hearted and had worried greatly over her condition, which she had considered hopeless. The story was that she had been blind during the first year of her life and was not able to hold up her head: "It hung down." Teething and talking developed at the usual ages. She walked first at 18 or 20 months. At 5 years of age, it was noticed that the lower part of the face was small. At 13, she had a nervous breakdown and since that time had had more or less stiffness of the neck, pain over the back of the head, and