A case of congenital unilateral maxillo-mandibular bony fusion in an 8-year-old girl

Satoko Koeda, Takahiro Suzuki, Hitoshi Nei, Hanae Inahara, Yoko Takata, Satoshi Goto, Hiroshi Nagasaka, Hiroshi Kawamura
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引用次数: 4

Abstract

Congenital fusion of the mandible to maxilla can involve soft tissue (synechiae) or bone (syngnathia). Congenital synechiae has been widely reported, whereas congenital syngnathia is rare. Syngnathia severely limits mouth opening. To improve airway control and prevent feeding handicaps, surgical division of the bony fusion or breakdown of the adhesions is recommended within the first few days of life. We described an 8-year-old girl who had unilateral syngnathia with micromandible, reactive coronoid process hyperplasia, cleft palate and congenital corneal opacity. She first underwent surgical treatment to improve jaw function at the age of 8 years. Delayed surgery slightly improved restricted mouth opening.

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8岁女童先天性单侧上下颌骨融合1例
下颌骨与上颌骨的先天性融合可能涉及软组织(融合)或骨(融合)。先天性合声已被广泛报道,而先天性合声是罕见的。Syngnathia严重限制张嘴。为了改善气道控制和防止喂养障碍,建议在出生后几天内手术分离骨融合或破坏粘连。我们描述了一位8岁的女孩,她患有单侧合颌畸形,伴有小下颌骨,反应性冠突增生,腭裂和先天性角膜混浊。她在8岁时首次接受手术治疗以改善颌骨功能。延迟手术稍微改善了受限的开口。
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