ould 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.

Microstoma.--There are a few cases on record in which the mouth has
been so small or ill-defined as not to admit of alimentation. Molliere
knew an individual of forty whose mouth was the exact size of a
ten-centime piece.

Buchnerus records a case of congenital atresia of the mouth. Cayley,
Smith, Sourrouille, and Stankiewiez of Warsaw discuss atresia of the
mouth. Cancrum oris, scarlet fever, burns, scurvy, etc., are occasional
causes that have been mentioned, the atresia in these instances taking
place at any time of life.

Anomalies of the Lips.--The aboriginal tribes are particularly noted
for their large and thick lips, some of which people consider enormous
lips signs of adornment. Elephantiasis or other pathologic hypertrophy
of the labial tissues can produce revolting deformity, such as is seen
in Figure 100, representing an individual who was exhibited several
years ago in Philadelphia. We have in English the expression, "pulling
a long lip." Its origin is said to date back to a semimythical hero of
King Arthur's time, who, "when sad at heart and melancholic," would let
one of his lips drop below his waist, while he turned the other up like
a cap on his head.

Blot records a case of monstrous congenital hypertrophy of the superior
lip in an infant of eight months. 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.