Anomalies and Curiosities of MedicineGould, George M. (George Milbrey)
Science
Anomalies and Curiosities of Medicine
Gould, George M. (George Milbrey)
Abnormalities, Human; Medicine -- Anecdotes
The knowledge of anomalous auricles is lost in antiquity. Figure 103
represents the head of an aegipan in the British Museum showing a
supernumerary auricle. As a rule, supernumerary auricles are
preauricular appendages. Warner, in a report of the examination of
50,000 children, quoted by Ballantyne, describes 33 with supernumerary
auricles, represented by sessile or pedunculated outgrowths in front of
the tragus. They are more commonly unilateral, always congenital, and
can be easily removed, giving rise to no unpleasant symptoms. They have
a soft and elastic consistency, and are usually composed of a hyaline
or reticular cartilaginous axis covered with connective or adipose
tissue and skin bearing fine hairs; sometimes both cartilage and fat
are absent. They are often associated with some form of defective
audition--harelip, ocular disturbance, club-feet, congenital hernia,
etc. These supernumerary members vary from one to five in number and
are sometimes hereditary. Reverdin describes a man having a
supernumerary nipple on the right side of his chest, of whose five
children three had preauricular appendages. Figure 104 represents a
girl with a supernumerary auricle in the neck, described in the Lancet,
1888. A little girl under Birkett's care in Guy's Hospital more than
answered to Macbeth's requisition, "Had I three ears I'd hear thee!"
since she possessed two superfluous ones at the sides of the neck,
somewhat lower than the angle of the jaw, which were well developed as
to their external contour and made up of fibrocartilage. There is
mentioned the case of a boy of six months on the left side of whose
neck, over the middle anterior border of the sternocleidomastoid
muscle, was a nipple-like projection 1/2 inch in length; a rod of
cartilage was prolonged into it from a thin plate, which was freely
movable in the subcutaneous tissue, forming a striking analogue to an
auricle. Moxhay cites the instance of a mother who was frightened by
the sight of a boy with hideous contractions in the neck, and who gave
birth to a child with two perfect ears and three rudimentary auricles
on the right side, and on the left side two rudimentary auricles.
In some people there is an excessive development of the auricular
muscles, enabling them to move their ears in a manner similar to that
of the lower animals. Of the celebrated instances the Abbe de Marolles,
says Vigneul-Marville, bears witness in his "Memoires" that the Regent
Crassot could easily move his ears. Saint Augustine mentions this
anomaly.
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