Stewart Craig, Hughes Lowell A, Thomson Hugh G, Armstrong Derek, Forte Vito
The Hospital for Sick Children, Toronto, Ontario.
Can J Plast Surg. 2007 Winter;15(4):227-9. doi: 10.1177/229255030701500401.
True median cleft of the upper and lower lip occurs very rarely. Complete or partial facial duplication is an extremely rare malformation. Approximately 26 cases have been reported since 1900, spanning a wide spectrum of clinical severity. Most cases appear to share a number of features, including cleft palate, duplication of the tongue, orbital hypertelorism and macrostomia. An unusual patient with midline clefts of the upper and lower lips with an apparent duplication of the mouth and a teratoid polyp, with fusion of the maxilla and mandible, is reported. The early management and surgical intervention is discussed. Furthermore, postoperative outcomes are reviewed as part of a 15-year postsurgical follow-up.
上下唇真性正中裂极为罕见。完全或部分面部重复是一种极其罕见的畸形。自1900年以来,大约已报告了26例,临床严重程度范围广泛。大多数病例似乎具有一些共同特征,包括腭裂、舌重复、眶距增宽和巨口症。本文报告了一名不寻常的患者,其上下唇正中裂伴明显的口重复及一个畸胎样息肉,上颌骨与下颌骨融合。讨论了早期处理和手术干预措施。此外,作为术后15年随访的一部分,对术后结果进行了回顾。