Clinical Presentation of Congenital Oral Mucosal Synechiae in A Newborn in Association with Cleft Palate

Area of Science:

• Pediatric Surgery
• Neonatology
• Oral and Maxillofacial Surgery

Background:

• Congenital oral mucosal synechiae are rare, presenting as fibrous bands that restrict oral mobility.
• This condition can lead to significant feeding difficulties in neonates.
• Association with cleft palate and other craniofacial anomalies is infrequently reported.

Purpose of the Study:

• To report a rare case of congenital oral mucosal synechiae in a neonate with cleft palate.
• To describe the successful surgical management and outcomes.
• To emphasize the importance of recognizing this condition in neonates with craniofacial anomalies.

Main Methods:

• A case report of a 5-day-old neonate with feeding difficulties due to oral mucosal synechiae and cleft palate.
• Surgical excision of the fibrous band using electrocautery.
• Histopathological examination of the excised tissue.

Main Results:

• Successful surgical release of the oral mucosal synechiae.
• Restoration of normal mouth opening and improved feeding, enabling breastfeeding.
• Histopathology confirmed the band to be composed of connective tissue.

Conclusions:

• Congenital oral mucosal synechiae, especially when associated with cleft palate, require prompt recognition and management.
• Surgical intervention is effective in resolving feeding difficulties.
• This case contributes to the limited literature and informs clinical strategies for similar rare presentations.