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Nonsyndromic palate Synechia with floor of mouth.

Naidoo S, Bütow KW - Ann Maxillofac Surg (2015 Jan-Jun)

Bottom Line: Two nonsyndromic cases were identified, and both cases involved the floor of the mouth and palate.Supportive care should be provided, and emergency airway protocol should be available for all cases.A differential diagnosis should be considered which includes syndromic conditions.

View Article: PubMed Central - PubMed

Affiliation: Department of Maxillofacial and Oral Surgery, Facial Cleft Deformity Clinic, University of Pretoria, Pretoria, South Africa.

ABSTRACT
To discuss the embryological basis, sequela and management of intraoral synechia, and to report on the incidence of this condition at a facial cleft deformity clinic (FCDC), with specific attention to two rare cases of mucosal bands involving the floor of the mouth and palate. Review of the literature and a retrospective analysis of FCDC and case report of two cases. During the period of 30 years (1983-2013), the FCDC - University of Pretoria has managed in excess of 4000 cases. A review of the clinic statistics revealed only six cases in which intraoral synechiae occurred. The rarity of this condition at the FCDC is in keeping with the rare incidence in the international literature. Four syndromic cases were identified. Three cases were cleft palate lateral synechia syndrome, and one was an orofacial digital syndrome. Two nonsyndromic cases were identified, and both cases involved the floor of the mouth and palate. The attending physicians and surgeons should be aware of the most appropriate timing for management of this condition, in order to avoid unwanted sequelae. Supportive care should be provided, and emergency airway protocol should be available for all cases. A differential diagnosis should be considered which includes syndromic conditions.

No MeSH data available.


Related in: MedlinePlus

Oral synechia (central and left)
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Figure 7: Oral synechia (central and left)

Mentions: At the time of consultation, the baby received expressed breast milk through cup feeds. The baby presented with a mucosal band extending from the floor of the mouth associated with the left sublingual gland [Figures 6 and 7], to the edges of the complete soft and partial (25%) hard palate cleft, which obstructed anterior posturing of the tongue. Surgical transection of the band was performed under inhalation anesthesia since endotracheal intubation was deemed too difficult.


Nonsyndromic palate Synechia with floor of mouth.

Naidoo S, Bütow KW - Ann Maxillofac Surg (2015 Jan-Jun)

Oral synechia (central and left)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4555931&req=5

Figure 7: Oral synechia (central and left)
Mentions: At the time of consultation, the baby received expressed breast milk through cup feeds. The baby presented with a mucosal band extending from the floor of the mouth associated with the left sublingual gland [Figures 6 and 7], to the edges of the complete soft and partial (25%) hard palate cleft, which obstructed anterior posturing of the tongue. Surgical transection of the band was performed under inhalation anesthesia since endotracheal intubation was deemed too difficult.

Bottom Line: Two nonsyndromic cases were identified, and both cases involved the floor of the mouth and palate.Supportive care should be provided, and emergency airway protocol should be available for all cases.A differential diagnosis should be considered which includes syndromic conditions.

View Article: PubMed Central - PubMed

Affiliation: Department of Maxillofacial and Oral Surgery, Facial Cleft Deformity Clinic, University of Pretoria, Pretoria, South Africa.

ABSTRACT
To discuss the embryological basis, sequela and management of intraoral synechia, and to report on the incidence of this condition at a facial cleft deformity clinic (FCDC), with specific attention to two rare cases of mucosal bands involving the floor of the mouth and palate. Review of the literature and a retrospective analysis of FCDC and case report of two cases. During the period of 30 years (1983-2013), the FCDC - University of Pretoria has managed in excess of 4000 cases. A review of the clinic statistics revealed only six cases in which intraoral synechiae occurred. The rarity of this condition at the FCDC is in keeping with the rare incidence in the international literature. Four syndromic cases were identified. Three cases were cleft palate lateral synechia syndrome, and one was an orofacial digital syndrome. Two nonsyndromic cases were identified, and both cases involved the floor of the mouth and palate. The attending physicians and surgeons should be aware of the most appropriate timing for management of this condition, in order to avoid unwanted sequelae. Supportive care should be provided, and emergency airway protocol should be available for all cases. A differential diagnosis should be considered which includes syndromic conditions.

No MeSH data available.


Related in: MedlinePlus