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DOI: 10.1055/s-0045-1811204
Unusual Bilateral Oblique Craniofacial Cleft with Atypical Cleft of Palate: A Case Report with 3 Years of Follow-Up
Authors
Abstract
Oblique facial clefts are a rare entity and can be associated with palatal anomalies like synechiae caused by amniotic bands. Their treatment is individualized following sound reconstructive surgical principles. This is a case report of a 15-month-old child with cleft palate in which the right palatal shelf was represented by a tongue-like projection, associated with macrostomia and bilateral medial and lateral oro-ocular clefts. The palatal cleft was closed in two stages and the oblique clefts in the first stage. At 4 years of age, the velopharyngeal incompetence was addressed by a superiorly based pharyngeal flap. The macrostomia was corrected by a sliding V-Y flap, which effectively lengthened the buccal mucosa and ensured oral competence.
Ethical Approval
This retrospective study was conducted within the principles of Helsinki guidelines and with the written consent of the patients.
Patients' Consent
Informed consent was obtained from all the participants of the study.
Publikationsverlauf
Artikel online veröffentlicht:
22. September 2025
© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
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