Duplicated, translocated maxilla and upper lip: a case report of a rare congenital anomaly

A 3-month-old male patient presented to the maxillofacial department in Al-Amiri Dental Center, Kuwait, with a facial deformity. There was no family history of any systemic illness or abnormalities nor consanguinity. On examination; the patient had a transverse incomplete facial cleft on the right cheek, the maxilla and the upper lip were duplicated and translocated to the right lower jaw and lip, with all components of mucosa as well as a complete compliment of deciduous teeth. There was unilateral macrosomia as well as cleft of the secondary palate and triple uvulae. The mandible had restricted mobility. Photographs and a Computerized Axial tomogram (CAT scan) were taken and a complete work up to exclude congenital cardiac disease was also done. The surgical approach, and possible future operations were explained in detail and discussed with the parents. Their consent was taken.