Hubbell, Ronaldson, and Luscha speak
of congenital occlusion of the posterior nares. Smith and Jarvis
record cases of congenital occlusion of the anterior nares.
Anomalies in size of the mouth are not uncommon. Fournier quotes
the history of a man who had a mouth so large that when he opened
it all his back teeth could be seen. There is a history of a boy
of seventeen who had a preternaturally-sized mouth, the
transverse diameter being 6 1/2 inches. The mother claimed that
the boy was born with his foot in his mouth and to this fact
attributed his deformity. The negro races are noted for their
large mouths and thick lips. A negro called "Black Diamond,"
recently exhibited in Philadelphia, could put both his fists in
his mouth.
Morgan reports two cases of congenital macrostoma accompanied by
malformation of the auricles and by auricular appendages. Van
Duyse mentions congenital macrostoma with preauricular tumors and
a dermoid of the eye. Macrostoma is sometimes produced by lateral
fissures. In other cases this malformation is unilateral and the
fissure ascends, in which instance the fissure may be accompanied
by a fistula of the duct of Stensen. Sometimes there is
associated with these anomalies curious terminations of the
salivary ducts, either through the cheek by means of a fistula or
on the anterior part of the neck.
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