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Ankyloglossia Superior Associated With Moebius Syndrome: A Case Report
Rafaela Costa Freire1, Ana Paula da Cunha Barbosa2, Michael David Han3
1Former Resident, Department of Oral and Maxillofacial Surgery, General Hospital of Cuiabá, Cuiabá, Brazil.
Summary
Ankyloglossia superior, a rare tongue-palate adhesion, was identified in an infant with Moebius syndrome and limb malformations. This case report details the surgical release and management challenges of this rare congenital condition.
Area of Science:
- Medical Genetics
- Pediatric Surgery
- Congenital Malformations
Background:
- Ankyloglossia superior is a rare congenital condition involving tongue-hard palate adhesion.
- It can be part of ankyloglossia superior syndrome with other malformations or associated with known syndromes.
Observation:
- A female infant presented with multiple congenital malformations including partial limb agenesis, micrognathia, facial muscle weakness, strabismus, and limited mouth opening.
- The patient was diagnosed with ankyloglossia superior associated with Moebius syndrome.
Findings:
- Computed tomography confirmed extensive ankyloglossia superior and palatal shelf integrity loss.
- Surgical release of the tongue-palate adhesion was performed under general anesthesia.
- Postoperative management presented significant challenges.
Implications:
- This case represents the first documented instance of ankyloglossia superior occurring with Moebius syndrome.
- Highlights the complexity of managing syndromic congenital anomalies.
- Underscores the importance of comprehensive evaluation in infants with multiple malformations.
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