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A Journal on Surgery

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Chirurgia 2006 June;19(3):201-6

language: Italian

Rare facial clefts: a review of a collection of 490 pacientes

Lupo F. 1, Ortiz Monasterio F. 2

1 Servizio di Chirurgia Plastica e Ricostruttiva Policlinico “G. Martino” Università degli Studi di Messina, Messina
2 Servizio di Chirurgia Plastica e Ricostruttiva Hospital General “Manuel Gea Gonzalez” Città del Messico, Messico


Aim. The rare facial clefts are anomalies of the cutaneous and osseous tissues in different districts of the face for an pathological fusion of the facial embrional processes; they are 100 times less frequent than lip-palate clefts. In 1976 Kawamoto reviewed the literature and concluded that the incidence of these malformations was between 1.43 and 4.84 of 100 000 births.
Methods. A retrospective study of forty years (range 1965-2005) was made about diagnosis and therapy of rare facial clefts at the “Manuel Gea Gonzales” General Hospital of Mexico City.
Results. This study included a population of 490 patients and a total of 990 clefts; it highlighted the incidence of each clefts, to demonstrate which are the tissues more involved between the cutaneous and osseous, underlining the correlation with craniostenosis, hypertelorism, anoftalmy, miroftalmy, arhinia.
Conclusions. The Authors reviewed retrospectively clinical notes and the senior Author’s personal approach which uses the concept of aesthetic units for correction of facial clefts. All the patients were followed-up with radiological examinations and photographic documentations during outpatient clinical sessions.

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