Cleft palate lateral synechia syndrome: An opportunity for unique surgical closure

Donepudi, Sreekrishna Kanth; Stocks, Rose Mary S.; Pivnick, Enikö K.; Mineck, Corey; Thompson, J. W.

doi:10.1016/j.ijporl.2009.03.008

Cited by 18 publications

(16 citation statements)

References 32 publications

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“…The second theory is as a result of a subglossopalatal membrane which forms prior to the development of the cleft, and displaces the tongue into the nasal cavity, resulting in closure approximation of the associated structure with subsequent tissue fusion. [ 3 ]…”

Section: Discussionmentioning

confidence: 99%

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Nonsyndromic palate Synechia with floor of mouth

Naidoo

Bütow

2015

Ann Maxillofac Surg

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To discuss the embryological basis, sequela and management of intraoral synechia, and to report on the incidence of this condition at a facial cleft deformity clinic (FCDC), with specific attention to two rare cases of mucosal bands involving the floor of the mouth and palate. Review of the literature and a retrospective analysis of FCDC and case report of two cases. During the period of 30 years (1983–2013), the FCDC - University of Pretoria has managed in excess of 4000 cases. A review of the clinic statistics revealed only six cases in which intraoral synechiae occurred. The rarity of this condition at the FCDC is in keeping with the rare incidence in the international literature. Four syndromic cases were identified. Three cases were cleft palate lateral synechia syndrome, and one was an orofacial digital syndrome. Two nonsyndromic cases were identified, and both cases involved the floor of the mouth and palate. The attending physicians and surgeons should be aware of the most appropriate timing for management of this condition, in order to avoid unwanted sequelae. Supportive care should be provided, and emergency airway protocol should be available for all cases. A differential diagnosis should be considered which includes syndromic conditions.

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Section: Discussionmentioning

confidence: 99%

“…The syndromes which are associated are Demarque-Van der Woude syndrome (DVWS), popliteal pterygium syndrome (PPS) [Figures 1 and 2 ], cleft palate lateral alveolar synechia syndrome, orofacial digital syndrome (OFDS) and Fryns syndrome. [ 2 3 4 ]…”

Section: Introductionmentioning

confidence: 99%

Nonsyndromic palate Synechia with floor of mouth

Naidoo

Bütow

2015

Ann Maxillofac Surg

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“…Dalal et al .,[9] have reported a case of intra alveolar synechia in two siblings, one of whom had a spontaneous resolution of the adhesion. Donepudi, et al .,[10] have documented that the synechia provided additional tissue for surgical closure with less tension on the palatal flaps. We believe that such a use of the synechia has been possible, because the membranous adhesion in this case had fibromuscular bands in it unlike our situation where the synechia consisted of thin membranous tissue of unequal width.…”

Section: Discussionmentioning

confidence: 99%