Presentation
The anomalies are organized by anatomical system and presented in a consistent manner, including details of the clinical presentation, epidemiology, embryology, treatment and prevention for each anomaly. [books.google.com]
They usually present as bilateral and symmetric fistulas on either side of the midline of the vermilion of the lower lip. [2] Occasionally only a single pit is present that may be centrally located. [mjmsr.net]
Isolated lip pits with nonfamilial involvement as seen in the present case are sporadic in the literature. [ijdr.in]
They are observed in 88% of VWS, and in 64% they are the only manifestation of the syndrome. [11], [12] Lip pits may have varied presentation and may present as small, raised area (called a microform) with a nipple-like appearance. [13] The other clinical [amhsjournal.org]
Five cases have been reported only previously of median cleft associated, with polydacyly, syndactyly and toe anamolies. 3 The presentation is unique in the sense that both cases presented with associated abnormalities of anterior process of the face [jpma.org.pk]
Entire Body System
- Swelling
A 9-year-old male patient reported to us with a complaint of swellings on his lower lip. History revealed that the swellings were present since birth, was initially small and increased proportionally to the size of the lip. [ijdr.in]
Case History A two hour born female was brought with chief complaints of deformity of lips, swelling neck and difficulty in breathing ( Figures 1 and 2 ). [omicsonline.org]
On extraoral examination, there were two symmetrical, roughly oval swellings on either side of the midline of the lower lip with round depressions about one-half centimeter from the midline on the center of the swelling. [amhsjournal.org]
An examination revealed swelling of the upper lip with a punctate opening in the midline of the upper lip, 3 mm below the base of the philtrum ( Fig. 1). [smj.org.sg]
Recovery continues for several weeks as swelling goes down after the procedure. During the first week following surgery, your baby might behave differently as compared to before surgery. It is normal for a baby to be fussier than usual. [gillettechildrens.org]
- Inflammation
The lip pits may require no treatment. [14] The reasons that make most of the patients desire their excision are minor cosmetic implications, the mucous secretions, and possible chronic, uncontrollable inflammations. [amhsjournal.org]
There was evidence of surrounding chronic inflammation. Postoperative follow-up at five months revealed a small inconspicuous scar on the upper lip ( Fig. 5) with no recurrence of the lip sinus. [smj.org.sg]
Otitis media inflammation of the middle ear Palate the roof of the mouth, separating the cavities of the nose and the mouth in vertebrates Palatoplasty is surgery of the palate Phenotype observable physical characteristics of an organism influenced by [embryology.med.unsw.edu.au]
- Asymptomatic
Lip pits can present as asymptomatic irregularities of the lip or with recurrent discharge or infection. 2 Examination usually reveals a depression in the vermilion zone of the lip and opening into a blind sinus. [casereports.bmj.com]
History revealed that these swellings were present since birth and were asymptomatic. On general examination, there were no contributory findings anywhere in the body. There was no evidence of cleft lip. [amhsjournal.org]
[…] hypoplastic labia majora and uterus in females), and oral-facial-digital syndrome (orofacial features of cleft palate, bifid tongue, hypodontia, lip pits, etc. with digital, renal, and central nervous system abnormality). [2], [10] In our case, since it was asymptomatic [jiaomr.in]
Face, Head & Neck
- Median Cleft Lip
median cleft of upper and lower lip Familial median cleft of upper and lower lip (disorder) Median cleft lip and alveolus Median cleft lip and alveolus (disorder) Major Diagnostic Categories M.D.C MDC Category : 03|Pre| MDC Type : Medical Description [medicbind.com]
[…] described two groups of syndromes associated with the median cleft lip. [jcasonline.com]
DISCUSSION The first case of median cleft associated with other abnormalities was reported in 1909. 1 Median cleft lip is a very rare condition and is due to failure of downward growth of mesoderni in the median nasal process. 2 We have the above 2 cases [jpma.org.pk]
cleft lip of both lips. [evolution.massey.ac.nz]
Philtral fistula in median cleft lip: cause and effect or coincidence? Ann Plast Surg 1992; 29:263-5. http://dx.doi.org/10.1097/00000637-199209000-00013 5. Al-Qattan MM. Congenital midline sinus of the upper lip. [smj.org.sg]
Workup
Colonoscopy
- Polyps
[…] osteitis of the clavicle Median arcuate ligament syndrome Median cleft face syndrome Median cleft lip/mandibule Median cleft lower facial stage Median cleft of the upper lip and maxilla Median cleft of the upper lip-corpus callosum lipoma-cutaneous polyps [orpha.net]
Treatment
Orthodontic Treatment for the Cleft Palate Patient. [slideshare.net]
Final Stage – Cleft Lip and Cleft Palate Treatment The final stage in the treatment of many patients with cleft lips and palates is the rhinoplasty, or nose surgery. [craniofacialteamtexas.com]
[…] discuss treatment options with the multidisciplinary team before making a decision. [cleftline.org]
Gillette Children’s Specialty Healthcare offers cleft lip treatment and cleft palate treatment at various stages of life. [gillettechildrens.org]
Antenatal diagnosis and treatment of fetal goitrous hypothyroidism: case report and review of the literature. Ultrasound Obstet Gynecol 1995; 6:368-71 9. Hadi HA, Strickland RT. [books.google.de]
Prognosis
Identification of the underlying syndrome is important for prognosis and family counseling; a clinical geneticist, when available, can help guide the evaluation. Click here for Patient Education NOTE: This is the Professional Version. [merckmanuals.com]
[…] anomalies are lower lip hemangioma, facial anomalies, ankyloglossia, cleft palate, cervical dermoid cyst, hyoid bone agenesis, laryngeal cartilage malformation, epiglottis aplasia, cardiac malformation and chromosomal abnormalities, which further worsen the prognosis [omicsonline.org]
The importance of antenatal diagnosis arises from its association with chromosomal abnormalities and associated anomalies, which can worsen the neonatal prognosis. [degruyter.com]
Prognosis Both cleft lip and cleft palate are treatable birth defects. [encyclopedia.com]
Etiology
The incidence, classification, etiology and embryology of oral clefts. Semin Orthod 1996;2:162-168 19. Formation of clefts 19 20. 20 21. ETIOLOGY 22. [slideshare.net]
Embryology Etiology The development of CLP is dependent on the interaction of environmental factors and genetic predisposition Genetic predisposition Family history: multifactorial inheritance pattern ( Mendelian inheritance is rare) An affected parent [amboss.com]
We report a case of median cleft of lower lip with ankyloglossia, the etiology; clinical features and treatment are discussed briefly. Case Report A 6-month-old child reported to our unit with a deformity of the lower lip. [jclpca.org]
Etiology and Genetic Counseling No distinct etiology of orofacial clefts is known. [consultant360.com]
They are also called as congenital fistulas or congenital lip pits and they normally disappear by six weeks of embryonic age. [1] The etiology is unknown. [mjmsr.net]
Epidemiology
The anomalies are organized by anatomical system and presented in a consistent manner, including details of the clinical presentation, epidemiology, embryology, treatment and prevention for each anomaly. [books.google.com]
Epidemiology References: [1] [2] [3] [4] Epidemiological data refers to the US, unless otherwise specified. [amboss.com]
American Journal of Epidemiology, vol. 141, supplement 3, 1995. R. Munger, P. Romitti, N. [article.sciencepublishinggroup.com]
The epidemiology of each of the 3 orofacial cleft types is described, and parental, genetic, and environmental contributing factors are briefly reviewed. [consultant360.com]
Lower lip sinuses: Epidemiology, microforms and transverse sulci. Br J Plast Surg 1981;34:26-30. 7. Coccia CT, Bixler D. Cleft palate and congenital fistulas of the lower lip: Report of a familial occurrence. [ijdvl.com]
Pathophysiology
Pathophysiology In embryonic development, the palate closes later than the lip, and the failure to close occurs for different reasons. [nurseslabs.com]
Prevention
The anomalies are organized by anatomical system and presented in a consistent manner, including details of the clinical presentation, epidemiology, embryology, treatment and prevention for each anomaly. [books.google.com]
Prevention It is necessary to understand genetic and environmental causes of syndromic and non-syndromic OFCs in order to prevent them. Having an understanding of multifactorial a etiology helps direct attention toward prevention. [article.sciencepublishinggroup.com]
0% Emergent - ED Care Needed - Preventable/Avoidable - 0% Emergent - ED Care Needed - Not Preventable/Avoidable - 0% Primary diagnosis of injury 0% Primary diagnosis of mental health problems 0% Primary diagnosis of substance abuse 0% Primary diagnosis [medicbind.com]
Surgical management Time of operation – 6-18 month before start of speaking to prevent nasal intonation. [bdmedics.blogspot.com]
Genetics, genetic counseling, and prevention. In: Jones KL. Smith’s Recognizable Patterns of Human Malformation. 4th ed. Philadelphia, PA: WB Saunders; 1988:706-727. 21. Centers for Disease Control and Prevention. [consultant360.com]