Isolated congenital fusion of the gums

Abstract

Isolated congenital fusion of the gums is a rare anomaly. Early surgical treatment is indicated, as longstanding cases will impair normal feeding leading to nutritional and growth problems. We report the first case in the Yaoundé Gynaeco-Obstetric and Paediatric Hospital, which was successfully managed surgically.

Fiber optic intubation of a neonate with Syngnathia under local anesthesia and sedation

“…Local anesthesia and intermittent general anesthesia by face mask have been used for mucosal synechiae-release under circumstances where fiber optic intubation was not available. [ 1 2 ]…”

A case of syngnathia, cleft palate and hypospadias: An isolated case or syndromic syngnathism?

“…Soft tissue adhesions are more common than bony adhesions, but division of both types is associated with excellent outcomes as the temporomandibular joints and muscles of mastication are usually normal (Pillai et al, 1990). Congenital interalveolar synechia frequently have syndromic associations, although isolated cases do occur (Chiabi et al, 2008). This report describes an unusual case of cleft palate associated with interalveolar synechia and concomitant hypospadias.…”

Congenital Alveolar Synechiae in a Neonate: Case Report and Review of Literature

“…The rare cases congenital alveolar synechiae without the cleft palate are reported in the literature are presented. [4][5][6][7][8][9][10][11][12][13] (Table 1) The exact etiology of CAS is unknown, but several hypothesis have been proposed due to interposition of the tongue between the palatal shelves with close contact between the palate and the floor of the mouth predisposing to the formation of intraoral synechiae, remnants of buccopharyngeal membrane, teratogenic drugs like meclizine, alteration in the growth factors interaction, localized ischemia, trauma in late pregnancy, and pressure exerted by amniotic bands on the first branchial arch and these are found to be considered for these synechiae. 4 The management includes excision of the fibrous bands at an early age to allow feeding and development of the TMJ and the orofacial region.…”