Advertisement

Anatomical Science International

, Volume 94, Issue 1, pp 154–157 | Cite as

Untreated incomplete isolated cleft palate: cadaveric findings

  • Shogo KikutaEmail author
  • Joe Iwanaga
  • Jingo Kusukawa
  • Rod J. Oskouian
  • R. Shane Tubbs
Case Report
  • 42 Downloads

Abstract

Isolated cleft palate without cleft lip is a rare deformity. Cleft lip and cleft palate can sometimes develop in combination with a syndrome due to genetic causes. Affected patients have morbidity through life from birth and experience comprehensive treatment for such clefts including surgery. It is extremely rare that the untreated clefts are found during routine cadaveric dissection, since many patients have treatment for clefts in developed countries. Herein, we present a case of an untreated incomplete isolated cleft palate on the right side of the maxilla. An oronasal fistula was found in the same location as the missing right maxillary lateral incisor, and the soft palate was considerably intruding into the hard palate but without penetration into the nasal cavity. The right incisivus labii superioris muscle forming the oral vestibule was incompletely torn with two fistulae. An incomplete bony defect was found on the right maxilla without oronasal or oroantral fistula. This paper may contribute to evaluating the disturbed site of the incomplete isolated cleft palate with no treatment.

Keywords

Isolated cleft palate Deformity Surgery Anatomy Cadaver 

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no competing interests.

References

  1. Al Omari F, Al-Omari IK (2004) Cleft lip and palate in Jordan: birth prevalence rate. Cleft Palate Craniofac J 41:609–612.  https://doi.org/10.1597/03-034.1 CrossRefGoogle Scholar
  2. Burg ML, Chai Y, Yao CA et al (2016) Epidemiology, etiology, and treatment of isolated cleft palate. Front Physiol 7:1–16.  https://doi.org/10.3389/fphys.2016.00067 CrossRefGoogle Scholar
  3. Henry BM, Vikse J, Pekala P et al (2018) Consensus guidelines for the uniform reporting of study ethics in anatomical research within the framework of the anatomical quality assurance (AQUA) checklist. Clin Anat 31:521–524.  https://doi.org/10.1002/ca.23069 CrossRefGoogle Scholar
  4. Iwanaga J, Watanabe K, Schmidt CK et al (2017) Anatomical study and comprehensive review of the incisivus labii superioris muscle: application to lip and cosmetic surgery. Cureus 9:e1689.  https://doi.org/10.7759/cureus.1689 Google Scholar
  5. Iwanaga J, Kido J, Lipski M et al (2018) Anatomical study of the palatine aponeurosis: application to posterior palatal seal of the complete maxillary denture. Surg Radiol Anat 40:179–183.  https://doi.org/10.1007/s00276-017-1911-2 CrossRefGoogle Scholar
  6. Lambrecht JT, Kreusch T, Schulz L (2000) Position, shape, and dimension of the maxilla in unoperated cleft lip and palate patients: review of the literature. Clin Anat 13:121–133.  https://doi.org/10.1002/(SICI)1098-2353(2000)13:2%3c121:AID-CA6%3e3.0.CO;2-K CrossRefGoogle Scholar
  7. Mai CT, Cassell CH, Meyer RE et al (2014) Birth defects data from population-based birth defects surveillance programs in the United States, 2007 to 2011: highlighting orofacial clefts. Birth Defects Res A Clin Mol Teratol 100:895–904.  https://doi.org/10.1002/bdra.23329.Birth CrossRefGoogle Scholar
  8. Morioka D, Yoshimoto S, Udagawa A et al (2007) Primary repair in adult patients with untreated cleft lip-cleft palate. Plast Reconstr Surg 120:1981–1988.  https://doi.org/10.1097/01.prs.0000287322.79619.de CrossRefGoogle Scholar
  9. Mossey PA, Little J, Munger RG et al (2009) Cleft lip and palate. Lancet 374:1773–1785.  https://doi.org/10.1016/S0140-6736(09)60695-4 CrossRefGoogle Scholar
  10. Nguyen DC, Patel KB, Parikh RP et al (2016) Five surgical maneuvers on nasal mucosa movement in cleft palate repair: a cadaver study. J Plast Reconstr Aesthe Surg 69:789–795.  https://doi.org/10.1016/j.bjps.2016.03.012 CrossRefGoogle Scholar
  11. Ortiz-Monasterio F, Serrano-Rebeil A, Valderrama M (1959) Cephalometric measurements of adult patients with nonoperated cleft palates. Plast Reconstr Surg 24:53–61CrossRefGoogle Scholar
  12. Shetye PR (2004) Facial growth of adults with unoperated clefts. Clin Plast Surg 31:361–371.  https://doi.org/10.1016/S0094-1298(03)00137-8 CrossRefGoogle Scholar
  13. Tomaszewski KA, Henry BM, Kumar Ramakrishnan P et al (2017) Development of the anatomical quality assurance (AQUA) checklist: guidelines for reporting original anatomical studies. Clin Anat 30:14–20.  https://doi.org/10.1002/ca.22800 CrossRefGoogle Scholar
  14. Watkins SE, Meyer RE, Strauss RP, Aylsworth AS (2014) Classification, epidemiology, and genetics of orofacial clefts. Clin Plast Surg 41:149–163.  https://doi.org/10.1016/j.cps.2013.12.003 CrossRefGoogle Scholar

Copyright information

© Japanese Association of Anatomists 2018

Authors and Affiliations

  1. 1.Seattle Science FoundationSeattleUSA
  2. 2.Division of Gross and Clinical Anatomy, Department of AnatomyKurume University School of MedicineKurumeJapan
  3. 3.Dental and Oral Medical CenterKurume University School of MedicineKurumeJapan
  4. 4.Swedish Neuroscience Institute, Swedish Medical CenterSeattleUSA
  5. 5.Department of Anatomical SciencesSt. George’s UniversityWest IndiesGrenada

Personalised recommendations