Roentgen diagnosis of diseases of the head . superiororbital fissure shows a variable shape and breadth. The foramen opticum may bedivided. 262 ROENTGEN DIACXOSIS OF DISKASKS OK Till: 11 HAD half of tlic body of the sphenoid, so thai the floor of the sella was thick-ened and the sphenoid antrum appeared to be filled up with compact was also a thickening of the alse major and minor. The hyperostosisof both ala? produced a diminution of the superior orbital fissure and con-sequently a compression of the ophthalmic vein and the nerves controllingthe movements of the bulb. The foramen o
Roentgen diagnosis of diseases of the head . superiororbital fissure shows a variable shape and breadth. The foramen opticum may bedivided. 262 ROENTGEN DIACXOSIS OF DISKASKS OK Till: 11 HAD half of tlic body of the sphenoid, so thai the floor of the sella was thick-ened and the sphenoid antrum appeared to be filled up with compact was also a thickening of the alse major and minor. The hyperostosisof both ala? produced a diminution of the superior orbital fissure and con-sequently a compression of the ophthalmic vein and the nerves controllingthe movements of the bulb. The foramen opticum was not diminished insize. (See Sachs and Schiiller.) Case ?..—H., male, twenty-eight years of age. Trauma of the head inearly youth. Deformity of the skull and face from early childhood. At thetime of examination there was an exophthalmus pulsans. It was possibleto push the eye back. There was bulging of the right temporal region, andthickening of the tissues of the right side of the face, resembling ele-phantiasis. (See Fig. 97.). Fig. 97.—Photograph of H., Case 3, page 262. The roentgen examination permitted one to sec that the upper and pos-terior portions of the orbit were gone. The wall of the skull, correspondingto the right temporal region, appeared thinned, bulged outward, and rare-tied by the presence of numerous vascular canals. The floor of the rightmiddle cranial fossa was lower than the left. The sella turcica was shal-low and widened at the top. Taking into consideration the change in thefacia] skin, a lymphangioma was assumed as the cause of the is probable that the circumscribed destructive changes in the orbital wall,the skull base, and the temporal region were produced by a portion of thelymphangiomatous tumor, lying Lntracranially. (See Lauber and Schiiller.) APPENDIX 263 ODONTOLOGY The pathologic changes in the jaws and teeth are either alocal manifestation of anomalies of the whole skull, and were,on that account, mentioned in previo
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