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Cleft palate and congenital synechiae syndrome: a case report
Siun M Murphy1, Suzanne Rea, Eleanor McGovern
1Department of Plastic and Reconstructive Surgery, Our Lady's Hospital for Sick Children, Crumlin, Dublin, Ireland.
Insights
Congenital alveolar synechia syndrome is a rare condition where a tissue band restricts mouth opening in newborns. Early management is crucial for normal feeding and oral development in affected infants.
Area of Science:
- Craniofacial anomalies
- Pediatric surgery
- Genetics
Background:
- Congenital alveolar synechia syndrome is a rare condition characterized by a fibrous band connecting the maxillary and mandibular alveolar ridges.
- This anomaly can significantly impede oral functions, including feeding and speech development.
Observation:
- A 1-day-old neonate presented with a cleft secondary palate and a soft tissue band restricting mouth opening.
- The infant was referred to a specialized cleft lip and palate team for evaluation and management.
Findings:
- The case highlights congenital alveolar synechia syndrome, a rare oral anomaly.
- Early intervention is essential for addressing the functional limitations imposed by this condition.
Implications:
- Timely management of congenital alveolar synechia syndrome is critical for ensuring adequate nutrition and promoting normal oral development in infants.
- This case underscores the importance of multidisciplinary care for rare craniofacial conditions.
Objective:
A 1-day-old baby girl with a cleft of the secondary palate and a soft tissue band connecting the upper and lower jaws and preventing mouth opening was referred to the cleft lip and palate team by her pediatrician. This case represents a further example of an interesting but rare anomaly known as congenital alveolar synechia syndrome that requires early management to allow normal feeding and oral development.

