Abstract:Congenital absence of nose (Arhinia) is extremely rare. A male baby was born at term via uncomplicated vaginal delivery and presented with complete arhinia, bilateral microphthalmia, lower eyelid coloboma and feeding difficulty. Reconstructive surgery was postponed until preschool age. On follow up at 1 year of age baby is feeding liquid and semisolid food and growing well.
“…At the age of one year, the child was feeding liquid and semisolid food and growing well. The case of Mondal and Prasad was most probably the reported case number fifty one [12].…”
Background: Ruprecht Majewski-Bosma syndrome is an extremely rare dysmorphic syndrome results from severe hypoplasia of the nose and eyes occurring in association with palatal abnormalities.It is characterized by congenital complete nasal agenesis (Bilateral aplasia of the nose) , microphthalmia including clinical anophthalmia, hypertelorism and other eye defects, high arched palate, and other palatal defects.
Materials and methods:A full term newborn female born to a consanguineous parents in their twenties with multiple congenital abnormalities was observed and studied at Children Teaching Hospital of Baghdad Medical City. The relevant literature was reviewed. Results: At birth the girl had the characteristic congenital abnormalities Ruprecht Majewski-Bosma syndrome of including complete nasal agenesis (Bilateral aplasia of the nose), bilateral microphthalmia, high arched palate, hypertelorism, and secondum atrial septal defect. Literature review confirmed the extreme rarity of the condition. Becerra-Solano et al ( 2016) reported the fifteenth case of the syndrome in the literature. The case of Mondal and Prasad was most probably the reported case number fifty one. Congenital heart defects have not been reported in association with this syndrome.
Conclusion:The paper reported the fifty two patients with Ruprecht Majewski-Bosma syndrome which is the first case of the syndrome to be associated with congenital heart defect, atrial septal defect.
“…At the age of one year, the child was feeding liquid and semisolid food and growing well. The case of Mondal and Prasad was most probably the reported case number fifty one [12].…”
Background: Ruprecht Majewski-Bosma syndrome is an extremely rare dysmorphic syndrome results from severe hypoplasia of the nose and eyes occurring in association with palatal abnormalities.It is characterized by congenital complete nasal agenesis (Bilateral aplasia of the nose) , microphthalmia including clinical anophthalmia, hypertelorism and other eye defects, high arched palate, and other palatal defects.
Materials and methods:A full term newborn female born to a consanguineous parents in their twenties with multiple congenital abnormalities was observed and studied at Children Teaching Hospital of Baghdad Medical City. The relevant literature was reviewed. Results: At birth the girl had the characteristic congenital abnormalities Ruprecht Majewski-Bosma syndrome of including complete nasal agenesis (Bilateral aplasia of the nose), bilateral microphthalmia, high arched palate, hypertelorism, and secondum atrial septal defect. Literature review confirmed the extreme rarity of the condition. Becerra-Solano et al ( 2016) reported the fifteenth case of the syndrome in the literature. The case of Mondal and Prasad was most probably the reported case number fifty one. Congenital heart defects have not been reported in association with this syndrome.
Conclusion:The paper reported the fifty two patients with Ruprecht Majewski-Bosma syndrome which is the first case of the syndrome to be associated with congenital heart defect, atrial septal defect.
“…At the age of one year, the child was feeding liquid and semisolid food and growing well. The case of Mondal and Prasad was most probably the reported case number fi ftyone [12].…”
The mother experienced three abortion before this girl was born. During pregnancy the mother experienced fever and was treated with a course of parental antibiotics. The girl was delivered by cesarean section because of lack of progress in labor.
“…However, once this membrane ruptures, communication is established between the nasal and buccal cavities in the form of posterior choanae. The posterior choanae are quickly filled by epithelial plugs, and recanalization of these plugs forms the secondary posterior choanae by the 24th week of life (Albernaz et al, 1996;Mondal and Prasad, 2016).…”
Section: Discussionmentioning
confidence: 99%
“…Complete congenital absence of the nose, also known as arhinia, is a rare embryologic disorder of unknown etiology with less than 50 reported cases (Mondal and Prasad, 2016). Congenital arhinia is commonly associated with other congenital abnormalities such as the eyes, ears, and palate (Méndez-Gallart et al, 2009;Mondal and Prasad, 2016). These patients can have difficulties with breathing and feeding due to the absence of the nose and nasal cavities (Méndez-Gallart et al, 2009).…”
Complete congenital arhinia is a rare defect of embryogenesis leading to the absence of the external nose and airway. We report our novel multistaged reconstructive approach and literature review. Nasal methyl methacrylate prosthesis was created from a stereolithographic model for use as a temporary prosthesis and tissue expander. Lefort 1 with cannulization was utilized for midface advancement and airway formation. External framework was reconstructed with bilateral conchal bowl cartilage and rib osteocartilagenous grafts. Patient was pleased with the aesthetics and had safe decannulation with the ability to breathe through the nose and airway.
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