There are countless biological processes that involve the growth of a young person, and sometimes portions of the miracle of this complex life may deviate from normal.
A South Carolina doctor while examining a newborn baby discovered an unusual lump on the right of the mouth. However, prenatal ultrasound did not allow the team to solve exactly what they were monitoring.
Possibilities included a cyst or defective fibrous tissue or teratoma. Once the girl was born, it became clear that the lump was in fact what the second small was. There was a lip, cavity, teeth and small tongue, moving in conjunction with her main tongue while feeding.
In the case report, doctors from the University of South Carolina Medical indicated that the skin around this second mouth may sometimes develop a “raw surface” and release a suspected saliva fluid.
Fortunately for this child, the extra oral cavity does not seem to cause any breathing problems or her ability to breastfeed. He didn’t even call her central mouth, which seemed to be working normally.
Diprosopus, or what is known as head double or face structures, is a very rare condition, with only about 35 cases recorded in humans since 1900. In the most extreme cases, this condition can lead to complete facial duplication. But when it comes to duplication that involves only one area of the face, parts of the mouth are usually concerned.
This condition occurs more often in females, and no one knows the cause.
In their case report, doctors explained that duplication of facial structures usually occurs as part of a syndrome, and is often associated with cleft lips, cleft palate, Klippel-Vell syndrome and the sequence of Pierre Rubin. Craniofacial duplication of the girl child is a rare condition presented as an isolated abnormality, without any associated syndromes or abnormalities.
This allowed doctors to have surgery to remove the extra mouth, when the girl was only 6 months old. In total, they removed some mucous membranes of the muscles, bones, mouth, and esophageal tissues, as well as the salivary gland and 6 uninterrupted teeth, all while trying to preserve her facial nerves.
Unlike some swelling at the surgical site, which was resolved after several months, the patient recovered well and did not need further treatment. Doctors note that she is having difficulty relaxing the right part of her lower lip, possibly due to the loss of some nerves.
Diprosopus can appear as a form of conjoined twin, or perhaps by a brown duplication called the pharyngeal arch, which forms during the fourth week of the development of the human fetus. The first of these six arches grows in the jawbones, muscles, and parts of the tongue, among other things.
However, the team does not believe that the pharyngeal arch theory explains this case, as the other structures that the arc formed were all natural.