The Helix.—The over-folding of the cartilage may be wanting, leaving the margin of the auricle straight; this form is met with in the Mongolian race, but among us it is a malformation (Morel's ear). It is a more serious malformation if it occurs combined with excessive development of the Darwinian tubercle; in this case the auricle assumes a really animal-like aspect ("canine ear").
The helix may originate within the concha from a root so prolonged that it divides the concha itself into two parts, an upper and a lower.
The helix may be greatly developed and sharply divergent from the cranium—handle-shaped ear; or it may be bent at an angle at the upper outer margin—embryonal ear.
The lobule is, as we have already said, an essentially human formation, and as though man were conscious of this fact and proud of it, it is customary in all races to adorn it with ear-rings, to such an extent that in India and in Cochin-China the lobe is burdened with ornaments of great weight, in consequence of which it has continued to develop until it almost touches the shoulder.
The lobule may be attached to the cheek (sessile lobule).
The antihelix may be so developed as to rise in front of the helix—Wildermuth's ear.
Another important malformation connected with the ear, which is commonly found in idiots, is a prolongation and restriction of the intertragical fossa into a fissure (fissura intertragica). The tragus ought normally to exceed the antitragus in dimensions.
Anomalies of the Nose.—The nose presents very numerous individual varieties, even among normal individuals. In the European race we distinguish the straight nose (Italian), the aquiline, the retroussé (French), the sinuous, etc. But in all these forms one characteristic remains more or less constant: the aperture of the nostrils is long and narrow, or rather its length exceeds its width (the nostrils are thin and mobile, the skeleton of the nose projects above the plane of the face). In the other races of mankind, on the contrary, two other types of nose are distinguished in respect to this characteristic: 1. The aperture of the nostrils is round (the nostrils themselves are fleshy, the base of the nose somewhat flattened)—mesorrhine nose, characteristic of the Mongolian race, and found repeatedly in mongoloid idiots; 2. the aperture of the nostrils is broadened, i.e., the width exceeds the length (the nose is flattened and almost level at the base, and furrowed for the most part with transverse wrinkles, the nostrils are exceedingly fleshy and immobile)—platyrrhine nose, peculiar to the African and Australian races. Corresponding to the external form of the nose there is also a difference in the skeleton in relation to the piriform aperture and the naso-labial duct; the external form of the nose is really dependent upon the skeleton consequently, the above-mentioned nomenclature applies also to the piriform aperture of the cranium (see Skeleton of the face). The flat nose is found as a malformation in idiots, and is usually accompanied by prognathism.
Other important malformations relating to the nose are the development of a tubercle at the tip—trilobate nose, frequent in low types of idiots; and the tip of the note bent sideways (usually toward the left); this form occurs in leptorrhine noses and is considered to be a stigma of criminality (thieves).
Anomalies relating to the Buccal Apparatus.—Malformations occur in relation to the lips, the teeth, the tongue and the palate.