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Bilateral Palatal Synechiae With Cleft Palate: A Rare Entity
Amit Agarwal1, Pritika Srivastava1
1Department of Plastic, Craniofacial & Microsurgery, Vivekananda Polyclinic & Institute of Medical Sciences, Lucknow, India.
Summary
Lateral synechiae syndrome, a rare congenital condition, involves intraoral adhesions causing feeding and respiratory issues. Early surgical intervention is crucial for managing these complications in infants.
Area of Science:
- Medical Genetics
- Pediatric Surgery
- Congenital Malformations
Background:
- Lateral synechiae syndrome is a rare congenital malformation.
- It presents with intraoral adhesions from the palate to the floor of the mouth.
- Often associated with cleft lip and/or palate, it causes functional deficits.
Purpose of the Study:
- To report a case of lateral synechiae syndrome in an infant.
- To highlight the associated feeding difficulties and cleft palate.
- To emphasize the importance of early surgical management.
Main Methods:
- Case report of a 15-day-old male infant.
- Clinical presentation of feeding difficulties.
- Diagnosis of cleft palate with bilateral lateral intraoral synechiae.
Main Results:
- The infant presented with significant feeding difficulties.
- Bilateral lateral intraoral synechiae were identified.
- The condition was associated with a cleft palate.
Conclusions:
- Lateral synechiae syndrome requires prompt surgical excision.
- Early intervention can mitigate respiratory and feeding problems.
- This case underscores the importance of recognizing and treating this rare condition.

