Bifid Uvula: Tip of an Ice Berg

Abstract

Background: A bifid uvula is an abnormal split or division in the uvula or tissue that hangs down at the end of soft palate in the roof of mouth. It has lesser amount of muscular tissues as compared to normal uvula. It is often noticed in infancy and rarely found in adults. Sometimes a bifid uvula is an indication of a submucous cleft palate. Submucous cleft palate can lead to problems with speech, swallowing and may be associated with ear problems. In majority of cases genetic association is present in patients with bifid uvula. Case Report: A 26 year old female posted for surgery for thyroglossal cyst was found to have bifid uvula during pre-anaesthetic checkup. She underwent surgery under general anaesthesia uneventfully. Conclusion: Detailed pre-anaesthetic workup and continuous peri-operative vigilance is required in cases of bifid uvula.