Buck successfully
treated by surgical operations a case of congenital hypertrophy
of the under lip, and Detmold mentions a similar result in a
young lady with hypertrophy of the lip and lower part of the
nose. Murray reports an undescribed malformation of the lower lip
occurring in one family.
Hare-lip may be unilateral or double, and may or may not include
the palatine arch. In the worst cases it extends in fissures on
both sides to the orbit. In other cases the minimum degree of
this deformity is seen.
Congenital absence of the tongue does not necessarily make
speech, taste, or deglutition impossible. Jussieu cites the case
of a girl who was born without a tongue but who spoke very
distinctly. Berdot describes a case in which the tongue was
deficient, without apparent disturbance of any of the functions.
Riolan mentions speech after loss of the tongue from small-pox.
Boddington gives an account of Margaret Cutting, who spoke
readily and intelligibly, although she had lost her tongue.
Saulquin has an observation of a girl without a tongue who spoke,
sang, and swallowed normally. Aurran, Bartholinus, Louis,
Parsons, Tulpius, and others mention speech without the presence
of a tongue.
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