Presentation and surgical management of a patient with a true cleft mandible
Clefts involving the mandible and lower lip are very rare, with less than 80 cases having been reported worldwide. The objective of this case report is to highlight this unusual type of facial cleft, and to present the principle features and management typically associated with it. We carefully desc...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-01-01
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| Series: | Journal of Oral Biology and Craniofacial Research |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212426821001317 |
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| author | Nikita R. Shah David M. McGoldrick Ian Sharp |
| author_facet | Nikita R. Shah David M. McGoldrick Ian Sharp |
| author_sort | Nikita R. Shah |
| collection | DOAJ |
| description | Clefts involving the mandible and lower lip are very rare, with less than 80 cases having been reported worldwide. The objective of this case report is to highlight this unusual type of facial cleft, and to present the principle features and management typically associated with it. We carefully describe our surgical planning and management of the patient alongside a compilation and comparison of different surgical techniques described in the literature thus far. In this report, we discuss a patient with a cleft of the lower lip, true cleft mandible with independent movements of his mandibular segments, ankyloglossia, and a fistula extending from the mandible to the suprasternal notch complicated with congenital heart abnormalities. We explore the different approaches of when to close the hard and soft tissues, however, there is still no clear surgical protocol for treating cleft mandibles but with more cases and their management and outcomes being reported, this is something which will be useful to develop. |
| format | Article |
| id | doaj-art-fa434f0c8a8f4df1bf91ddc2fc318ae3 |
| institution | OA Journals |
| issn | 2212-4268 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Oral Biology and Craniofacial Research |
| spelling | doaj-art-fa434f0c8a8f4df1bf91ddc2fc318ae32025-08-20T02:02:02ZengElsevierJournal of Oral Biology and Craniofacial Research2212-42682022-01-0112116116410.1016/j.jobcr.2021.11.002Presentation and surgical management of a patient with a true cleft mandibleNikita R. Shah0David M. McGoldrick1Ian Sharp2Corresponding author. Dept. of Oral and Maxillofacial Surgery, Birmingham Children's Hospital, Steelhouse Lane, Birmingham, B4 6NH, United Kingdom.; Department of Oral and Maxillofacial Surgery, Birmingham Children's Hospital, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United KingdomDepartment of Oral and Maxillofacial Surgery, Birmingham Children's Hospital, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United KingdomDepartment of Oral and Maxillofacial Surgery, Birmingham Children's Hospital, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, United KingdomClefts involving the mandible and lower lip are very rare, with less than 80 cases having been reported worldwide. The objective of this case report is to highlight this unusual type of facial cleft, and to present the principle features and management typically associated with it. We carefully describe our surgical planning and management of the patient alongside a compilation and comparison of different surgical techniques described in the literature thus far. In this report, we discuss a patient with a cleft of the lower lip, true cleft mandible with independent movements of his mandibular segments, ankyloglossia, and a fistula extending from the mandible to the suprasternal notch complicated with congenital heart abnormalities. We explore the different approaches of when to close the hard and soft tissues, however, there is still no clear surgical protocol for treating cleft mandibles but with more cases and their management and outcomes being reported, this is something which will be useful to develop.http://www.sciencedirect.com/science/article/pii/S2212426821001317Cleft mandibleTessier no. 30Heart anomaliesSurgical management |
| spellingShingle | Nikita R. Shah David M. McGoldrick Ian Sharp Presentation and surgical management of a patient with a true cleft mandible Journal of Oral Biology and Craniofacial Research Cleft mandible Tessier no. 30 Heart anomalies Surgical management |
| title | Presentation and surgical management of a patient with a true cleft mandible |
| title_full | Presentation and surgical management of a patient with a true cleft mandible |
| title_fullStr | Presentation and surgical management of a patient with a true cleft mandible |
| title_full_unstemmed | Presentation and surgical management of a patient with a true cleft mandible |
| title_short | Presentation and surgical management of a patient with a true cleft mandible |
| title_sort | presentation and surgical management of a patient with a true cleft mandible |
| topic | Cleft mandible Tessier no. 30 Heart anomalies Surgical management |
| url | http://www.sciencedirect.com/science/article/pii/S2212426821001317 |
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