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Updated: Jun 9, 2026

Surgical Correction for Pediatric Epiblepharon and Trichiasis
Published on: July 8, 2025
Oral synechia with epithelial cyst in neonate with cleft palate: a case report
Insights
Oral synechia, a rare congenital deformity, can cause serious neonatal airway and feeding issues. Surgical release of midline subglossopalatal synechia in a cleft palate case was successful, highlighting the importance of timely diagnosis and intervention.
Area of Science:
- Craniofacial surgery
- Pediatric surgery
- Congenital anomalies
Background:
- Cleft palate with oral synechia is a rare congenital deformity with limited literature.
- Midline synechia is less common than lateral synechia.
- Delayed recognition and treatment can lead to significant neonatal complications, including airway obstruction and feeding difficulties.
Abstract:
Cleft palate with oral synechia is a rare congenital deformity that is represented in the literature by only a handful of cases. Midline synechia is less common than lateral. Failure to recognize and appropriately treat this condition has serious implications for neonatal airway management and feeding. We present a case of cleft palate with midline subglossopalatal synechia that was transferred from an outside institution after a prolonged period of nonsurgical management in which the patient ultimately required intubation for respiratory distress. Release of the synechia was performed without complications. We review the current literature and discuss diagnosis and surgical management of this rare condition.
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