Midline Mandibular Cleft Repair: A Case Report

Wael Fawzy Ismaiel, MD, PhD; Mohamed Hussein Abdelazim, MD; Ahmed Younes, MD; Abdelgawad M. Hadeya, MD; Mahmoud Ahmed Amin, MD

doi:10.1097/GOX.0000000000004283

Plastic and Reconstructive Surgery, Global Open (Apr 2022)

Midline Mandibular Cleft Repair: A Case Report

Wael Fawzy Ismaiel, MD, PhD,
Mohamed Hussein Abdelazim, MD,
Ahmed Younes, MD,
Abdelgawad M. Hadeya, MD,
Mahmoud Ahmed Amin, MD

Affiliations

Wael Fawzy Ismaiel, MD, PhD: From the * Otorhinolaryngology Department, Faculty of Medicine, Al-Azhar University, Damietta, Egypt
Mohamed Hussein Abdelazim, MD: From the * Otorhinolaryngology Department, Faculty of Medicine, Al-Azhar University, Damietta, Egypt
Ahmed Younes, MD: From the * Otorhinolaryngology Department, Faculty of Medicine, Al-Azhar University, Damietta, Egypt
Abdelgawad M. Hadeya, MD: From the * Otorhinolaryngology Department, Faculty of Medicine, Al-Azhar University, Damietta, Egypt
Mahmoud Ahmed Amin, MD: † Plastic Surgery Department, Faculty of Medicine, Al-Azhar University, Damietta, Egypt.

DOI: https://doi.org/10.1097/GOX.0000000000004283
Journal volume & issue: Vol. 10, no. 4
p. e4283

Abstract

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Summary:. Midline clefts of the lower lip and mandible are extremely uncommon. Couronne reported the first case in 1819, and fewer than 80 cases have been discovered in the literature to date. This case report describes a female infant who was born having a full midline cleft of the mandible and lower lip, as well as neck flexion contracture that extended from the lower lip to the manubrium sterni. A fenestrated type of acrylic splint was applied over the mandibular arch and fixed by circum-mandibular wiring. Fixation was done using a 0.5 interosseous wire passing through the prepared hole and tightened over a previously harvested rib bone graft.

Published in Plastic and Reconstructive Surgery, Global Open

ISSN: 2169-7574 (Online)
Publisher: Wolters Kluwer
Country of publisher: United States
LCC subjects: Medicine: Surgery
Website: http://www.prsgo.com

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