非定型口腔顔面裂に対し顔面形成術と口蓋形成術を行った1例

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  • A case of atypical orofacial cleft undergoing facial plastic surgery and palatoplasty
  • ヒテイケイ コウコウ ガンメンレツ ニ タイシ ガンメン ケイセイジュツ ト コウガイ ケイセイジュツ オ オコナッタ 1レイ

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<p>While cleft lip and palate are common phenotypes associated with orofacial congenital anomaly, there are only a few cases in which uncommon types of clefts occur. One such cleft is an oblique facial cleft with clefts extending from the upper lip or corner of the mouth to the internal or external canthus. Medical information on the treatment of this disease is underreported because it is a rare phenotype of orofacial cleft. We describe our clinical experience in performing facial plastic surgery and palatoplasty in a patient with bilateral oblique facial clefts, a left Tessier No. 5 cleft and a right Tessier No. 4 cleft, and an atypical right palatal cleft. At 3 months of age, bilateral plastic surgery was performed using the modified Z-plasty method. Our ophthalmologist treated the hypoplastic right eye by removing and suturing ocular-like tissue and inserting an artificial eye material. In addition, modified Furlow palatoplasty was done by double-opposing Z-plasty to close an atypical cleft palate at 1 year of age. Our experience will provide valuable clinical information on how to treat uncommon phenotypes of orofacial clefts.</p>

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