“…1 , [8][9][10][11][12]20 In our case, cardiomegaly from a ventricular septal defect was present, but because the left ventricle function was normal, the patient was given digitalis and kept under observation. 1 , [8][9][10][11][12]20 In our case, cardiomegaly from a ventricular septal defect was present, but because the left ventricle function was normal, the patient was given digitalis and kept under observation.…”
Section: Discussionmentioning
confidence: 61%
“…and eye and ear deformities 3,8,10,12), hand anomalies (such as syndactyly, brachydactyly, and polydactylyj.J-!? Possible associated anomalies are congenital heart deformities.t-vt-cleft palate, 1,3,4, 10,13 facial anomalies (such as submental epidermoid cysts,14,IS hemifacial microsomia.l" Pierre Robin anomaly.'…”
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.
“…1 , [8][9][10][11][12]20 In our case, cardiomegaly from a ventricular septal defect was present, but because the left ventricle function was normal, the patient was given digitalis and kept under observation. 1 , [8][9][10][11][12]20 In our case, cardiomegaly from a ventricular septal defect was present, but because the left ventricle function was normal, the patient was given digitalis and kept under observation.…”
Section: Discussionmentioning
confidence: 61%
“…and eye and ear deformities 3,8,10,12), hand anomalies (such as syndactyly, brachydactyly, and polydactylyj.J-!? Possible associated anomalies are congenital heart deformities.t-vt-cleft palate, 1,3,4, 10,13 facial anomalies (such as submental epidermoid cysts,14,IS hemifacial microsomia.l" Pierre Robin anomaly.'…”
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.
“…There is only one previous report in the literature of a stillborn 38 weeks of gestation female infant with median clefting of the lower lip and mandible and anophthalmia, as well as anencephaly, cleft nose, club feet, erupted incisor, absent parotid glands, amniotic adhesions, and atrophic ovaries. 10 Although median mandibular clefts are usually isolated findings, they can also be associated with other congenital anomalies including absence of the hyoid bone, hypoplasia of the manubrium, oligodontia, congenital heart anomalies, cleft palate, facial deformities including submental epidermoid cysts, hemifacial microsomia, Pierre Robin syndrome, ear deformities, limb malformations including syndactyly and polydactyly and club feet, and chromosomal abnormalities. [2][3][4][5][6][7][8][9] The reported incidence of microphthalmia in newborns is 1 in 5300 to 1 in 8300 births.…”
Section: Discussionmentioning
confidence: 99%
“…Our review of the literature revealed only one reported case in 1943 of a stillborn infant with median clefting of the lower lip and mandible and anophthalmia (with several additional anomalies). 10 The purpose of this article is to describe this unusual combination of congenital anomalies in a preterm female dichorionic diamniotic twin infant.…”
Median clefts of the lower lip and mandible are very rare congenital anomalies. We report a female infant born to nonconsanguineous parents with unilateral microphthalmia and complete median clefting of the lower lip and mandible. This uncommon constellation of congenital malformations has never been reported in a liveborn infant.
“…However, midline clefts of the lower lip and mandible are extremely rare. They are considered to be the result of failure of mesodermal penetration and merging of paired mandibular processes 1234567…”
Midline cleft of the lower lip and mandible is an extremely rare condition. Since 1819, when the first case was reported by Couronne, fewer than 80 cases have been described in the world literature so far. The cleft has also been described as facial cleft no. 30 by Paul Tessier. The condition varies in severity from a mild variety in which there is a submucous cleft and notching in the lower lip to a severe variety, involving the tongue, floor of the mouth, mandible, absent hyoid, atrophic neck muscles, and sternum. In this case report, a female child having complete midline cleft of the lower lip and mandible, with bifid tongue stuck to the floor of the mouth, absent hyoid bone and flexion contracture band extending from the confluence of the tip of the tongue, floor of the mouth, cleft mandible to the manubrium sterni is described, with special emphasis on surgical planning and management.
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