Figures 98, 100 and 103 represent forms of normal prognathism (related to race, Figs. 98, 100), and of pathological prognathism (Fig. 103, form associated with microcephaly). These two microcephalic profiles call to mind the muzzle of an animal; there is no erect forehead, the orbital arch forming the upward continuance; the nose is very long and almost horizontal to the protruding jaw; the fleshy lips constitute in themselves the anterior apex of the visage; while the chin recedes far back beneath them.
But leaving aside these exceptional profiles, which serve by their very exaggeration to fix our conception of prognathism, let us examine the series of profiles in Fig. 100, which include some forms more or less peculiar, and others that are more or less customary, of prognathism; forms that serve to characterise the physiognomy.
Fig. 100.—(1) Orthognathous face; (2) prognathism limited to the nasal region; (3) prognathism limited to the subnasal region; (4) total prognathism, including the three regions, supra-nasal, nasal and subnasal; (5) exaggerated total prognathism, accompanied by mandibular prognathism; (6) the same in a child; (7) very marked prognathism, but due entirely to the prominence of the supra-nasal section, resulting in an apparent orthognathism (male of tall stature); (8) opposite type to the preceding: pronounced prognathism not extending to the supra-nasal region (feminine type); (9) misunderstood Greek profile (incorrect) resulting in a notable prognathism; (10) correct Greek profile, i.e., conforming to that of Greek statues, and incompatible with prognathism.[41]
Manouvrier, analysing the forms of prognathism from the point of view of physiognomy and cerebral development, notes that varieties 4 and 5 seem to him to correspond to a more or less serious cerebral development; variety 2, very frequent in France and more particularly, according to the author, among the Jews, is not incompatible with a high cerebral inferiority. Variety 3, more frequent in the feminine sex, is found in conjunction, sometimes with a weakly skeletal system, and frequently with rickets and cretinism; nevertheless, Beethoven showed an approach to this profile.
Variety 4 indicates on the contrary an extremely vigorous development of the skeleton, with the qualities and defects commonly associated with great physical strength; variety 7 is regularly associated with tall stature; in fact, in this case the prognathism is determined by excessive development of the frontal bone-sockets.
It is this development, prevalent in the male sex, that renders subnasal prognathism much rarer in man. As a matter of fact, the feminine type of prognathism shown in No. 8 is not greater in degree than the male type, No. 7. Variety 9 shows us a form of prognathism in art, due to a false interpretation of the Greek profile; it is commonly believed that in the Greek profile the frontal line is a continuation of that along the bridge of the nose, and hence we frequently meet with commemorative medals, etc., bearing the monstrous profile shown in No. 9, with pronounced prognathism and receding forehead. The true Greek profile is shown in No. 10, but we can better analyse it by studying the profile of the Discobolus (Fig. 105) and of Antinoous (Fig. 106).
Fig. 101.