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Midface Hypoplasia and Cranial Base Morphology in Syndromic Craniosynostosis: A Comparative Analysis Study Using a Predictive Regression Model
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Isolated congenital maxillomandibular synechiae
Eric W Cerrati1, Omar H Ahmed1, Scott M Rickert1
1Department of Otolaryngology-Head and Neck Surgery, New York University School of Medicine, New York, NY, USA.
American Journal of Otolaryngology
|May 11, 2015
Summary
Congenital maxillomandibular syngnathia, a rare jaw fusion, can cause feeding and breathing problems. Simple surgical division of soft tissue bands can effectively treat this condition, improving infant development.
Area of Science:
- Craniofacial Surgery
- Pediatric Surgery
- Developmental Biology
Background:
- Congenital maxillomandibular syngnathia is a rare condition characterized by jaw fusion, leading to feeding, swallowing, and respiratory difficulties.
- This can result in failure to thrive and temporomandibular joint ankylosis, necessitating early intervention for optimal growth.
Purpose of the Study:
- To report a case of isolated soft tissue maxillomandibular syngnathia in a neonate.
- To highlight the effectiveness of simple surgical intervention for this rare condition.
Main Methods:
- A 1-day-old male infant presented with feeding difficulties due to trismus caused by bilateral soft tissue alveolar fibrous bands.
- Surgical division of the fibrous bands was performed under local anesthesia using surgical scissors.
Main Results:
- The infant experienced immediate improvement in mouth opening and resolution of feeding problems post-procedure.
- The patient demonstrated appropriate weight gain and development following the intervention.
Conclusions:
- Isolated maxillomandibular fusion, particularly soft tissue synechiae, is exceptionally rare, with only 11 reported cases.
- Simple surgical division under local anesthesia can be a curative treatment for specific types of maxillomandibular fusion.
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