Acevedo Fernando Miguel Almaguer, Doe Ketemepi Gabriel Victor, Hernandez Barbara Yordanis, Lambert Radisnay Guzman, Lopez Duniesky Martinez, Gonzalez Mariuska Rodriguez
Department of Surgery, School of Medicine, University of Health and Allied Sciences, Ho, Volta Region, Ghana.
Department of Internal Medicine, School of Medicine, University of Health and Allied Sciences, Ho, Volta Region, Ghana.
J Surg Case Rep. 2023 Jan 10;2023(1):rjac616. doi: 10.1093/jscr/rjac616. eCollection 2023 Jan.
Tessier no. 7 clefts are characterized by macrostomia, facial muscular diastasis and maxillary and zygomatic bone abnormalities. It is caused by a lack of ectomesenchyme formation or penetration of the maxillary and mandibular processes during the fourth and fifth weeks of development. A case of bilateral transverse facial cleft with an accessory maxilla and an osseous choristoma is presented. The diagnosis of accessory maxilla was based on clinical findings due to the inaccessibility of orthopantomography and computed tomography scan. Orbicularis oris muscle reconstruction, cheiloplasty and excision of accessory maxilla were done. Histopathological examination of the bony lesion showed an osseous choristoma. There were no postoperative complications or local recurrence of the lesion excised. This case report demonstrates the importance of early diagnosis and intervention in maxillofacial congenital anomalies. Cheiloplasty restores function and gives the patient a natural appearance. The excision of accessory bone prevents further complications in the child's growth.
特西尔7号腭裂的特征为大口畸形、面部肌肉分离以及上颌骨和颧骨异常。它是由在发育的第四和第五周上颌突和下颌突的外胚间充质形成不足或穿透障碍所致。本文报告1例伴有副上颌骨和骨迷离瘤的双侧横向面部裂。由于曲面体层摄影术和计算机断层扫描难以显示，副上颌骨的诊断基于临床检查结果。进行了口轮匝肌重建、唇成形术和副上颌骨切除术。骨病变的组织病理学检查显示为骨迷离瘤。切除的病变无术后并发症或局部复发。本病例报告证明了早期诊断和干预颌面部先天性畸形的重要性。唇成形术可恢复功能并使患者外观自然。切除副骨可防止儿童生长过程中出现进一步并发症。
