Cheiloschisis e Cheilognatoschisis inferior

Median clefts of the lower lip and mandible are rare craniofacial clefts. Couronné in 1819 was the first to describe the condition. The midline cleft of the lower lip was classified by Tessier as a type 30 craniofacial cleft. Recently, the total number of the reported cases had increased to about 66 in the world literature. In addition, 2 more patients are presented here. The first case involves only a small notch in the vermilion; the deformity was treated by Z-plasty. In the second case, a midline incomplete cleft of the lower lip, a sublingual abnormal frenulum, a complete cleft in the mandible, a bifid sternum, a presternal skin tag, and a ventricular septal defect in the heart were present. At operation, Z-plasty of the lingual frenulum released the normal-sized tongue. The lip cleft was corrected by a simple V excision followed by closure in 3 layers. The mandibular segments were "vitalized" with a bone rongeur and immobilized in the predetermined position with an interosseous stainless steel wire. Because the bone fusion was complete, the stainless steel wire was taken out after 3 months so that it would not prevent mandibular development. Our treatment methods and others are discussed.

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The Median Mandibular Symphysis Tessier 30 Cleft:

Mahajan

Patel

Duan

et al. 2018

The Cleft Palate-Craniofacial Journal

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Atypical craniofacial clefts of the upper facial region have been well documented; however, the mandibular clefts remain rare and reported as isolated case reports. We report a case of a median mandibular cleft within the context of a Tessier 0-14 axis that we have followed over a 5-year period without surgical/orthodontic intervention. The mandibular symphysis cleft remained open without evidence of the fusion, in contrast to ossification of the metopic dysraphism. Within this context, we present a review of the median mandibular cleft cases from 1819 to 2015.

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Cheiloschisis e Cheilognatoschisis inferior

Abstract: Two rare anomalies of the face are presented, cheiloschisis inferior (a white brazilian boy, two years old) and cheilognatoschisis inferior (a colored Brazilian boy, two years old)

Cited by 3 publications

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Hypertrophied Frenuli, Oligophrenia, Familial Trembling and Anomalies of the Hand

Hypertrophied Frenuli, Oligophrenia, Familial Trembling and Anomalies of the Hand

Median Cleft of the Lower Lip: Report of Two New Cases and Review of the Literature

The Median Mandibular Symphysis Tessier 30 Cleft:

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