IGF1 and acromegaly: The extremely high values of growth hormone (11.8 ng/mL – normal range 0.02-1.23) and insulin-like growth factor 1 (780.2 ng/mL – normal range 15-246) confirmed the diagnosis of acromegaly and ruled out the rest of entities included in the differential diagnosis, such as pathological tooth migration, jaw expansive process, amyloidosis, hypothyroidism, rhinolalia and systemic voice disorders.