Department of Plastic and Reconstructive Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Gangnam-gu, Republic of Korea.
Cleft Palate Craniofac J. 2023 Nov;60(11):1513-1516. doi: 10.1177/10556656231161990. Epub 2023 Jul 13.
Goldenhar syndrome (GS) is a rare congenital disorder characterized by multiple facial anomalies. This case report describes a GS presenting with bilateral cleft lip and palate and bilateral transverse facial cleft. We performed a single-stage surgery to repair the bilateral cleft lip and bilateral transverse facial cleft when the patient was 4-months-old. Bilateral cleft lip repair using the Mulliken method was performed first, and then the bilateral transverse facial cleft was corrected. Orbicularis oris muscle repair was done at each clefts. Anatomical approximation technique was used and the final oral commissure was determined considering symmetry. Satisfactory outcomes were achieved without complications.
Goldenhar 综合征（GS）是一种罕见的先天性疾病，其特征是多种面部异常。本病例报告描述了一例双侧完全性唇裂和腭裂伴双侧横面裂的 GS 患者。我们在患儿 4 个月大时对其进行了一期手术修复双侧完全性唇裂和双侧横面裂。首先采用 Mulliken 法修复双侧完全性唇裂，然后矫正双侧横面裂。在每处裂隙处进行口轮匝肌修复。采用解剖接近技术，根据对称性来确定最终的口角位置。术后结果满意，无并发症发生。
