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Unusual Bilateral Oblique Craniofacial Cleft with Atypical Cleft of Palate: A Case Report with 3 Years of Follow-Up
Bharatendu Swain1, Shalini Sampreethi1, Srujana Gorle1
1Department of Plastic and Reconstructive Surgery, Aakar Asha Hospital, Hyderabad, Telangana, India.
Insights
Oblique facial clefts, rare congenital conditions, require individualized surgical repair. This case report details successful multi-stage reconstruction for a child with complex facial clefts and velopharyngeal incompetence.
Area of Science:
- Plastic Surgery
- Craniofacial Surgery
- Pediatric Surgery
Background:
- Oblique facial clefts are rare congenital anomalies.
- They can be associated with other craniofacial and palatal abnormalities.
- Amniotic bands can cause synechiae and contribute to cleft formation.
Abstract:
Oblique facial clefts are a rare entity and can be associated with palatal anomalies like synechiae caused by amniotic bands. Their treatment is individualized following sound reconstructive surgical principles. This is a case report of a 15-month-old child with cleft palate in which the right palatal shelf was represented by a tongue-like projection, associated with macrostomia and bilateral medial and lateral oro-ocular clefts. The palatal cleft was closed in two stages and the oblique clefts in the first stage. At 4 years of age, the velopharyngeal incompetence was addressed by a superiorly based pharyngeal flap. The macrostomia was corrected by a sliding V-Y flap, which effectively lengthened the buccal mucosa and ensured oral competence.
