Cleft Palate Not Explained by Embryology

Lynch, James E.; Lewis, S. R.; Blocker, T. G.

doi:10.1097/00006534-196638060-00010

Cited by 25 publications

(10 citation statements)

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“…It is a common occurrence though not a rule that the congenital palatal stula and submucous cleft palate are commonly associated. Lynch JB et al [6] in 1966 reported congenital palatal stula not associated with submucous cleft palate. There was not history of trauma, occurred in children and the same location as reported in the present case report.…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Congenital Palatal Fistula With Normal Soft Palate and Uvula

Tated

Khan

Shaikh

2020

Global Journal for Research Analysis

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Cleft lip and palate are commonly observed congenital anomaly. But congenital palatal stula is very uncommon. Only few cases have been reported in literature globally. Irrespective of the doubts in etiology and pathogenesis, due to its rarity it is important to report these rare cases in the literature as and when it comes to the notice of the clinicians. Herein,we present a case of two-year-old child presented to us with isolated congenital palatal stula. Apart from nasal regurgitation on feeding and URTI, all other things were normal. Midline, rectangular stula of 2 cm x 1.5 cm extending from incisive foramen and involving posterior edge of hard palate was seen. Patient responded well to the surgery and postoperative period was uneventful.

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Section: Discussionmentioning

confidence: 99%

A Rare Case of Congenital Palatal Fistula With Normal Soft Palate and Uvula

Tated

Khan

Shaikh

2020

Global Journal for Research Analysis

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“… 3 – 5 In other cases, intact submucous clefts have been recorded before appearance of a fistula or perforation, supporting the hypothesis of a spontaneous rupture or a traumatic etiology. 5 , 6 However, Lynch et al 7 and others have reported congenital palatal fistulas that are truly isolated, occurring in the absence of a submucous cleft palate. 1 , 8 These still occurred in the same location and presented early in childhood without a history of trauma.…”

Section: Discussionmentioning

confidence: 99%

Congenital Palatal Fistula Associated with Submucous Cleft Palate

Eshete

Camison

Abate

et al. 2016

Plastic and Reconstructive Surgery - Global Open

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Background:Although cleft lip and cleft palate are among the most common congenital malformations, the presence of an isolated congenital palatal fistula along with a submucous cleft is very rare. This appears as an oval-shaped, full-thickness fenestration in the palatal midline that does not fully extend anteriorly or posteriorly, accompanied by the findings of a submucous cleft. Because of the uncommon nature of this entity, there is controversy about its etiology, diagnosis, and management.Methods:Two cases of children with congenital palatal fistulae and a submucous cleft palate are presented who were treated in different settings by different surgeons. Cases are discussed along with a thorough review of the available literature.Results:Patient 1 presented at 4 years of age with “a hole in the palate” since birth and abnormal speech. His palatal fistula and submucous cleft were repaired with a modified von Langenbeck technique in Ethiopia. At a 2-year follow-up, the palate remained closed, but hypernasal speech persisted. Patient 2 was a 1-year-old presenting with failure to thrive and nasal regurgitation, who underwent a Furlow palatoplasty in the United States with good immediate results. She was unfortunately lost to follow-up.Conclusions:A congenital fenestration of the palate is rare. Reports reveal suboptimal speech at follow-up, despite various types of repair, especially when combined with a submucous cleft. Available literature suggests that repair should not focus on fistula closure only but instead on providing adequate palate length to provide good velopharyngeal function, as in any cleft palate repair.

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“…Furthermore, in other studies, the mucosa in the submucous cleft palate was intact at birth but subsequently presented with a hole, suggesting spontaneous rupture or a traumatic etiology [5610]. In several reports, submucous cleft palate was not accompanied by palatal perforation, suggesting that it occurred due to an embryological malformation [13]. The present case strongly supports the former etiology; that is, oral candidiasis was the cause of palatal fenestration, which is supported by the photograph taken before the perforation (Fig.…”

Section: Discussionmentioning

confidence: 99%

Acquired Palatal Fistula in Patients with Submucous and Incomplete Cleft Palate before Surgery

et al. 2016

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It is uncommon for a palatal fistula to be detected in individuals who have not undergone surgery, and only sporadic cases have been reported. It is even more difficult to find cases of acquired palatal fistula in patients with submucous or incomplete cleft palate. Herein, we present 2 rare cases of this phenomenon. Case 1 was a patient with submucous cleft palate who acquired a palatal fistula after suffering from oral candidiasis at the age of 5 months. Case 2 was a patient with incomplete cleft palate who spontaneously, without trauma or infection, presented with a palatal fistula at the age of 9 months.

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Cleft Palate Not Explained by Embryology

Cited by 25 publications

References 0 publications

A Rare Case of Congenital Palatal Fistula With Normal Soft Palate and Uvula

A Rare Case of Congenital Palatal Fistula With Normal Soft Palate and Uvula

Congenital Palatal Fistula Associated with Submucous Cleft Palate

Acquired Palatal Fistula in Patients with Submucous and Incomplete Cleft Palate before Surgery

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