with
a long tongue, but it was thinner than that of a cat. When she laughed
it hung over her teeth like a curtain, and was always extremely cold to
the touch. In the same article there is a description of a man with a
very long neck who could touch his tongue to his chest without
reclining his head. Congenital and acquired hypertrophy of the tongue
will be discussed later.
Amatus Lusitanus and Portal refer to the presence of hair on the
tongue, and later there was an account of a medical student who
complained of dyspepsia and a sticky sensation in the mouth. On
examination a considerable growth of hair was found on the surface of
the tongue. The hairs would be detached in vomiting but would grow
again, and when he was last seen they were one inch long. Such are
possibly nevoid in formation.
The ordinary anomalies of the palate are the fissures, unilateral,
bilateral, median, etc.: they are generally associated with hare-lip.
The median fissure commencing between the middle incisors is quite rare.
Many curious forms of obturator or artificial palate are employed to
remedy congenital defects. Sercombe mentions a case in which
destruction of the entire palate was successfully relieved by
mechanical means. In some instances among the lower classes these
obturators are simple pieces of wood, so fashioned as to fit into the
palatine cleft, and not infrequently the obturator has been swallowed,
causing obstruction of the air-passages or occluding the esophagus.
Abnormalism of the Uvula.--Examples of double uvula are found in the
older writers, and Hagendorn speaks of a man who was born without a
uvula. The Ephemerides and Salmuth describe uvulae so defective as to
be hardly noticeable. Bolster, Delius, Hodges, Mackenzie of Baltimore,
Orr, Riedel, Schufeldt, and Tidyman are among observers reporting
bifurcated and double uvula, and they are quite common. Ogle records
instances of congenital absence of the uvula.
Anomalies of the Epiglottis.--Morgagni mentions a man without an
epiglottis who ate and spoke without difficulty. He thought the
arytenoids were so strongly developed that they replaced the functions
of the missing organ. Enos of Brooklyn in 1854 reported absence of the
epiglottis without interference with deglutition. Manifold speaks of a
case of bifurcated epiglottis. Debloisi records an instance of
congenital web of the vocal bands. Mackenzie removed a congenital
papillomatous web which had united the
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