Cleft lip and hemangioma: a patient with Wolf-Hirschhorn syndrome.
A patient with Wolf-Hirschhorn syndrome had multiple congenital anomalies and a right cleft lip. Hemangioma involved the full thickness of the upper medial lip segment at the age of 2 months, which caused lip repair to be very difficult. The first attempt at adhesion cheiloplasty resulted in complete separation. The tumor did not respond to steroid treatment. A subsequent trial of lip repair with the assistance of a tension-relieving suture tied to the nasal septum was successful. This type of tension suture is helpful to prevent dehiscence when security of lip closure is questionable or cannot be achieved.
Lo
L J
LJ
Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Taipei, Taiwan, Republic of China.
Noordhoff
M S
MS
Chen
Y R
YR
D000015:Abnormalities, Multiple / Q000235:genetics / Q000601:surgery; D002971:Cleft Lip / Q000235:genetics / Q000601:surgery*; D005260:Female; D006391:Hemangioma / Q000235:genetics / Q000601:surgery*; D006801:Humans; D007223:Infant; D008048:Lip Neoplasms / Q000235:genetics / Q000601:surgery*; D012086:Reoperation; D013536:Suture Techniques; D013577:Syndrome