Cheekbone

“ Cheekbones have a strange, unnatural effect when they appear in childish faces. There was a child in a rusty double perambulator that had been a stylish baby-carriage only a little while ago, whose wizened face and shrunken hands were pitiable to see. ”

“ What we above all find wanting here is the projection of the forehead, and along with this, together with uncommonly high placed ears and arched noses, as is the rule with vulgar natures, we have the retreating form of cheekbones, which in contrast to other parts are strongly indicated and emphasized, whereas the chin is always retiring and small ”

“ They have high cheekbones, broad flat noses without visible bridges, small, dark, oblique eyes, with heavy lids and imperceptible eyebrows, wide mouths, full lips, thick, big, projecting ears, deformed by great hoops, straight black hair nearly as coarse as horsehair, and short, square, ungainly figures. ”

“ The cheek-bones are small, and so are the bony arches which join them to the temples; the cheeks are full of fat, and the angles of the jaws rounded. In middle age the lower part of the forehead becomes more fully developed, the bony edges which support the eyebrows [Pg 316] project and overhang the eyes, the bridge of the nose and the nostrils become more fully formed, the space from the nose to the chin is greater, the teeth cause the lips to be pushed more forward, the lower jaw is larger, and the cheek-bones show more plainly. ”

“ In this event, when the anterior line of the nose is to be restored, the mass is liable to find its way into the loose areolar tissue of the infra-orbital region; in correcting a nasolabial furrow the mass is pushed upward or is forced into the tissue of the cheek above it, aggravating the trouble; in obliterating a frown it travels upward toward the margin of the scalp, giving a median prominence to the forehead that is found to be very difficult to correct; in injections about the mouth the mass moves down upon the chin or accumulates at the angle of the jaw ”

“ The size and rigidity of the braincase and palate, and the extent and rigidity of their contact with the skull.
The stresses applied to the cheek fall into two groups. The first includes all of those stresses that ran through and parallel to the plane of the cheek initially. The weight of the jaw and snout, the pull of the axial musculature, and the necessity to provide firm anchorage for the teeth created stresses that acted in this manner. The second group comprises those stresses that were applied initially at an oblique angle to the cheek and not parallel to its plane. ”

“ Tense jaw muscles, whether large or small, denote the characteristic of persistence. But loose, flabby cheek muscles do not necessarily prove the habit of over-eating, or of sensuality. They may mean that the man who has them does not habitually allow his feelings to show in his face. When the muscles of facial expression are flabby they prove only that they are slightly used. Therefore when you encounter a man with loose cheeks read his characteristics from other muscle-structure signs, and from his actions. ”

“ Finally, prominent cheek-bones are objectionable because they are concomitants of the large, clumsy, brutal jaws which characterise savages and apes. To the cheek-bones the upper jaw-bone is directly attached; hence the larger the teeth are, and the more vigorously they are exercised in fighting and picking bones, the more massive must be the cheek-bones, to prevent the upper jaw from being pushed out of position. ”

“ The inferior maxillary bone is, as in man, formed of a body and two branches. But among the many special characteristics of form and size which sharply differentiate it from the human bone, one detail must be indicated; this is the absence of a mental prominence. Hence it results that the anterior border of the body of the lower jaw, instead of being directed obliquely downwards and forwards, is, on the contrary, oblique downwards and backwards, and that in certain animals this border is actually found almost exactly on the prolongation of the inferior border of the body of the bone. ”

“ A third incision unites the angle of the mouth with the outer incision. Both cheek flaps are made alike, each remaining attached along all of the remains of the old nose. They are now raised upward and inward, with their mucosa facing outward, and united along the median line. The raw cheek borders are now brought forward and held in place by suturing them at either side to the remaining rectangular flap of the upper lip. The formation of the subseptum is left for a second sitting. This method is not only too extensive, but too disfiguring to make its employment practicable. ”

“ Location.—The inferior maxilla, lower jaw, or os maxillare inferius, also called the mandibular bone, or pars dentis, is analogous to the lower jaw of mammals. It articulates posteriorly with the quadrate bone.
Description.—The inferior maxilla is the largest bone of the face. It is made up of a right and a left limb which are separate in the fetus and which unite subsequently anteriorly, forming the inferior portion of the beak. Each limb of the jaw is developed from five elements: the pars articularis, which forms the jaw-joint and, expanded, articulates with the quadrate bone ”

“ The head, which is covered with cartilage, except for an oval depression for the attachment of the ligamentum teres, one of the ligaments of the hip-joint, and which articulates with the hollow of the acetabulum in the os innominatum, projects considerably upward, inward, and forward from the shaft, the neck varying much in length and angle. It is generally more [Pg 188] horizontal in women than in men and in rickets the great weight on the softened bone tends to press the head down, causing the deformity known as “coxa vera”, in which the neck is almost horizontal. ”

“ The mastoid processes of the female skull are smaller; the lower [401] jaw-bone is relatively smaller and lighter; the ribs are lighter and compressed; the spine is relatively longer; the collar and shoulder bones and the sternum [577] are smaller and lighter; there is a less pronounced angle in the femur, the neck of which approaches a right angle, while smallness of the patella in front and narrowness of the articulating surfaces of the tibia and femur, which in man form the lateral prominences, are said to make the knee-joint in women a sexual characteristic. ”

“ Pursuing our subject, we find that the cheek is not without its quota of folk-lore; for, like the ear, nose, and eye, it is considered ominous when one's cheek itches. According to Grose, "If the right cheek burns, some one is speaking to the person's advantage; if the left, to their disadvantage." One may still occasionally hear the following charm uttered by a person whose cheek suddenly burns ”

“ The Veins that bring back the Blood from the Substance of the Brain, are emptied into the Sinus's of the Dura Mater, which are all discharg'd into those that are call'd Lateral, which last go out of the Skull immediately under the Nerves of the eighth Pair, thro' the hinder-part of the Hole made by the meeting of the Occipital Bone, and the Apophysis Petrosa. These Lateral Sinus's fall into the Internal Jugulars, which are receiv'd into a considerable Sinking hollow'd on each side in the outward, part of the Basis of the Skull, which is nam'd the Pit or Hole of the Internal Jugular. ”

“ In the face, the temporal fossæ are pronounced, the cheek bones become prominent, the orbital cavities become hollow, and the lower jaw massive. The bones of the extremities are elongated, while their cavity is diminished, so much so, that in France and England gloves are specially made for the United States with exceptionally long fingers. Lastly, in the woman, the pelvis, in its proportions, approaches to that of the man. ”

“ Where youth is shown, the upper eyelids and skin under the eyebrow are delicately rouged. If hollows in the cheeks, temples, or neck are wanted, these are the next things to be done, and the outlines of the cheeks may be rounded out with light shades or made to assume eccentric shaped with darker ones. The muscles of the neck may need bringing out, and hollows put under each side of the chin. ”

“ Sometimes the posterior primary division of the third cervical nerve reaches the scalp still nearer the middle line behind.
The third layer of the scalp or epicranium is formed by the two fleshy bellies of the occipito-frontal is muscle and the fattened tendon or aponeurosis between them. Of these two bellies the anterior (frontalis) is the larger, and, when it acts, throws the skin of the forehead into those transverse puckers which are characteristic of a puzzled frame of mind. ”

“ The cheek-bones are seldom so prominent, or the chin so pointed, as to give an angular or cat-faced appearance; the eye, of medium size, is usually most arched centrally, and drawn out horizontally at the outer angle ”

“ Moreover, there is attached to the cheek-bones a powerful muscle which connects it with the lower jaw, and by its contraction brings the two jaws together; and this is a second way in which violent exercise of the jaws tends to enlarge the cheek-bones, for all bones become enlarged if the muscles attached to them are much exercised. ”

“ Schimmelbusch Method.—The principle herein is to give an osseous wall to the whole length of the restored nose, covering well the skin inside and outside, and, if possible, to fix the new nose solidly at the pyriform opening.
[395]
“I cut an osteo-cutaneous flap from the middle of the forehead, of a size proportional to the size and shape of the nose. Its pedicle between the eyebrows is two or three centimeters wide; it widens out superiorly to form seven to nine centimeters. ”

“ The cheek-bones are high and bony; they are not, however, expanded or spread backward, nor do they, as in the Chinese, alter the appearance of the eyes by making them oblique. The cheeks are rather lank and falling in than full or oval. ”

“ Deficiency of Cheek (Total and Partial) .—A total lack of proper contour of the cheek, generally termed flattening, may be due to hereditary causes, but is generally dependent upon a cachexia due to a general disease, or fatty degeneration of the muscular structure of the cheeks, as found in those beyond middle age.
A partial deficiency of the cheek or cheeks is usually hereditary, but may be dependent upon digestive disorders or other causes of malnutrition.
This class of deformity is found more often in women than men. It is usually bilateral. ”

“ Having therefore first shaven the hairs about the forehead, we must permit the lower jaw to move, and avoiding the place where the temporal muscles are seen to act, we are to make three straight and parallel incisions on the forehead, each having the length of two fingers, and descending to the bone, and being at the distance of about three fingers’ breadth from one another. ”

“ Chelonia.—Postero-lateral region of skull as in Anomodontia, except bones of ear-capsule more modified. No pineal foramen. Ribs single-headed. No sternum. Pectoral and pelvic arches unique in being situated completely inside the ribs. No epicoracoid. Abdominal ribs replaced by three or four pairs of large plates, which, with the clavicles and interclavicle, form a plastron. Limbs only for progression; third and fourth digits with not more than three phalanges. A regular dorsal carapace of bony plates intimately connected with the neural spines, and ribs of seven to nine dorsal vertebrae. ”

“ If the distance between the cheeks is so wide as to make this the widest section of the face, it is probable that the person is more Thoracic than Osseous. But if his face is narrow across the cheek bones, and especially if it runs perpendicularly down to the jaw-corners from that point instead of tapering, the person is large of the Osseous type. ”

“ Among the men he found an extraordinary growth or enlargement of the cheek-bones under the eyes. It is in the form of horns on each side of the nose, and so long that in some instances the man had to squint violently to see at all. ”

“ Though the eye is always entirely on the free cheek, the adjoining part of the fixed cheek is raised to form a buttress on which the eye rests; this buttress, which is known as the “palpebral lobe,” is seen clearly when the fixed cheek is removed. The eyes of Trilobites are always sessile; for although in some species, such as Asaphus cornigerus, A. kowalewskii, and Encrinurus punctatus, they are on the summits of prominent stalks, yet those stalks are immovable. ”

“ When the second division of the nerve is affected the pain is chiefly in the cheek and upper jaw, the painful points being immediately below the lower eyelid, over the cheek bone, and about the upper lip. ”

“ Mr. Quekett, of the Royal College of Surgeons, has inspected the calcined bones, which he states are those of an adult. He has detected among them portions of the cranium, portions of the upper and lower maxilla, the fang of an incisor tooth, and a fragment of a phalangal bone of a finger. The whole had been reduced by great heat, and with free access of air during combustion.
The dagger may be compared with the examples figured in Akerman's "Archæological Index," Plate V. Nos. 40, 41, 42. The handle, of bone, wood, or horn, has perished ”

“ The Plain of this Sling is to be laid upon the Fracture, causing the upper Heads to pass behind the Nape of the Neck, which are to be brought back again forward; the lower Heads are likewise to be carry'd behind, crossing above the upper, and afterward to be return'd forward. If the Bones of the Nose be not timely reduc'd, a great Deformity soon happens therein, and a Stink caus'd by the Excrescences and Polypus's. ”

“ But it is by defect in the middle line that the mischief manifests itself, and it is in that anatomical category that the malformations are included. The osseous deficiency at the crown of the head is usually accompanied by want of the scalp, as well as of the brain and membranes. The bones of the face may be well developed and the features regular, except that the eyeballs bulge forward under the closed lids ”