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The deformity shown in Figure 1 was caused by a burn at the age of 3 years, the patient being, at the time of operation, about 20 years old. The chin was held tightly against the breast by the cicatricial tissue; one arm and hand were also grown to the breast, the wrist being turned so that the thumb was twisted back upon itself, its palmar surface next the skin of the patient's chest. By reason of the continual strain occasioned by the effort of the muscles of the back of the neck constantly endeavoring to hold the head up, in order to enable the subject to look straight before him, the lower jaw was deformed and elongated in such a manner that the first inferior molars met the superior cuspids in occlusion, the anterior lower teeth protruding forward in the shape of a fan, giving an expression to the
BROWN GVI. DESCRIPTION OF A CASE OF ORAL SURGERY. JAMA. 1900;XXXIV(10):601–602. doi:10.1001/jama.1900.24610100023001i
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