Congenital fusion of the maxilla and mandible: brief case report.
ABSTRACT Congenital fusion of the mandible and maxilla is a rare anomaly usually seen in association with various syndromes. Reports of isolated cases of bony fusion of the jaws are sparse. Only 10 reported cases were found in the literature search. Maxillomandibular fusion restricts mouth opening, causing feeding problems and difficulties in swallowing, respiration, growth, and development, and thus must be treated early. We report a case of congenital fusion of the mandible and maxilla in a 1-year-old boy and describe the clinical features of this anomaly to add to the existing literature on the subject. This is our second encounter of such a case.
- SourceAvailable from: E. Gómez[Show abstract] [Hide abstract]
ABSTRACT: We report the first case of syngnathia with hypophyseal duplication and describe the central nervous system (CNS) and craniofacial anomalies associated with hypophyseal duplication in the reported autopsy case. We studied clinical reports, scanner images, and autopsy results of a 2-months-old female baby. The propositus had frontonasal dysmorphism, retrognathia, and bifid tongue. She also presented maxillomandibular bony fusion (syngnathia) and an intraoral hairy polyp. In the cranium, the sella turcica was broadened, with two complete hypophyses and two infundibulums. The CNS had both olfactory bulbs and corpus callosum agenesis. There are 27 previous cases of maxillomandibular fusion and seven previous autopsy cases of hypophyseal duplication associated with other frontonasal malformations. As far as the authors know, this is the first case reported in the literature that associates syngnathia with duplication of the craniofacial midline including hypophyseal duplication.Craniomaxillofacial Trauma and Reconstruction 06/2011; 4(2):113-20.
- [Show abstract] [Hide abstract]
ABSTRACT: division of the adhesions is necessary for normal feeding, removing airway obstruction, and allowing normal mandibular function and growth, so it should be carried out as soon as possible. Delay in surgical treatment increases the possibility of TMJ ankylosis which leads to lack of mandibular growth and facial defor-mities 2,8,9 . Although the surgery is simple, general anaesthesia is often difficult. Fine fibreoptic laryngoscopes are required for nasoendotracheal intubation. Excessive force may easily lead to jaw fracture and should be avoided because TMJs are stif-fened due to disuse, the alveolar ridges are soft and infantile bone is fragile 8,9 . For postoperative management, RAHUL recommended the use of interalveolar silastic bite block or another device for 4 weeks to prevent recurrence due to secondary scar contraction 4,12 . In the present case recurrence could not be evaluated because the patient died 2 months after surgery, so follow-up was insufficient. The cause of death was diag-nosed as aspiration pneumonia.
- [Show abstract] [Hide abstract]
ABSTRACT: Congenital fusion of jaw and its association with ankyloblepharon filiforme adnatum is reported but is a quite rare congenital benign anomaly. It may be unilateral or bilateral and can present with a single system or multiple systems involvement. This report concentrates on describing the clinical features of above disease, likely aetiological causes, and embryogenesis with classification, diagnostic, and, treatment modality, anesthesia problems and review of literature.Indian Journal of Plastic Surgery 01/2012; 45(3):557-559.