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CC BY-NC-ND 4.0 · Indian J Plast Surg 2016; 49(01): 106-108
DOI: 10.4103/0970-0358.182238
Case Report
Association of Plastic Surgeons of India

Palatoglossal fusion with cleft palate and hypoplasia of cerebellar vermis

Shailesh Solanki
Department of Pediatric Surgery, Indira Gandhi Institute of Child Health, Bengaluru, Karnataka, India
,
M. Narendra Babu
Department of Pediatric Surgery, Indira Gandhi Institute of Child Health, Bengaluru, Karnataka, India
,
Gowrishankar,
S. Ramesh
Department of Pediatric Surgery, Indira Gandhi Institute of Child Health, Bengaluru, Karnataka, India
› Author Affiliations
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Publication History

Publication Date:
13 August 2019 (online)

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ABSTRACT

A new-born male presented within 12 h of birth with respiratory distress. On examination and workup, he had palatoglossal fusion, cleft palate and hypoplasia of the cerebellar vermis. A 2.5 Fr endotracheal tube was inserted into the pharynx through nostril as a nasopharyngeal stent, following which his respiratory distress improved. Once child was optimised, then feeding was started by nasogastric tube and feeds were tolerated well. Elective tracheostomy and gastrostomy were done, followed by release of adhesions between the tongue and palate at a later stage. Review of literature suggests that palatoglossal fusion is uncommon and presents as an emergency. Mostly, these oral synechiae are associated with digital and/or cardiac anomaly. Other disorders associated with intra-oral synechiae include congenital alveolar synechiae, van der Woude syndrome, popliteal pterygium syndrome and oromandibular limb hypogenesis syndrome. The authors report a hitherto undescribed association of palatoglossal fusion with cleft palate and hypoplasia of the cerebellar vermis.

KEY WORDS

Cleft palate - intra-oral synechiae - nervous system anomaly - palatoglossal fusion
 

  • REFERENCES

  • 1 Naidoo S, Bütow KW. Nonsyndromic palate synechia with floor of mouth. Ann Maxillofac Surg 2015; 5: 100-3
    CrossrefPubMedGoogle Scholar
  • 2 Chandra R, Yadava VN, Sharma RN. Persistent buccopharyngeal membrane Case report. Plast Reconstr Surg 1974; 54: 678-9
    CrossrefPubMedGoogle Scholar
  • 3 Grippaudo FR, Kennedy DC. Oromandibular-limb hypogenesis syndromes: A case of aglossia with an intraoral band. Br J Plast Surg 1998; 51: 480-3
    CrossrefPubMedGoogle Scholar
  • 4 Pillai KG, Kamath VV, Kumar GS, Nagamani N. Persistent buccopharyngeal membrane with cleft palate. A case report. Oral Surg Oral Med Oral Pathol 1990; 69: 164-6
    PubMedGoogle Scholar
  • 5 Sahin U, Ozdil K, Uscetin I, Saylkan S, Oktem F, Yuce S. et al. Cleft palate and congenital alveolar synechiae syndrome. Plast Reconstr Surg 2005; 115: 1212-3
    CrossrefPubMedGoogle Scholar
  • 6 Haydar SG, Tercan A, Uckan S, Gurakan B. Congenital gum synechiae as an isolated anomaly: A case report. J Clin Pediatr Dent 2003; 28: 81-3
    PubMedGoogle Scholar
  • 7 Dawson KH, Gruss JS, Myall RW. Congenital bony syngnathia: A proposed classification. Cleft Palate Craniofac J 1997; 34: 141-6
    CrossrefPubMedGoogle Scholar
  • 8 Hall BD. Aglossia-adactylia. Birth Defects Orig Artic Ser 1971; 7: 233-6
    PubMedGoogle Scholar
  • 9 Kaplan P, Cummings C, Fraser FC. A “ community” of face-limb malformation syndromes. J Pediatr 1976; 89: 241-7
    CrossrefPubMedGoogle Scholar
  • 10 Sybil D, Sagtani A. Cleft palate lateral synechia syndrome. Natl J Maxillofac Surg 2013; 4: 87-9
    CrossrefPubMedGoogle Scholar