title: [Median congenital fistula of the upper lip associated with Goldenhar syndrome: Report of a case].
abstract: OBJECTIVE
  We present the case of a patient with Goldenhar syndrome associated with congenital fistula in the middle of philtrum at the upper lip.
  
  
  METHODS
  The patient was supported from birth for Goldenhar syndrome. Several procedures were performed in childhood to correct a macrostomia and mandibular hypoplasia right. At 14 years old, she has a rhinoplasty to correct a complex nasal malformation. During the procedure, a hole in the upper central incisor inter-space is found. It is extended by a fistula which runs through the front palate towards the vomer rail at the base of the partition. This fistula is blind behind the vomer and can be completely resected. Pathological examination of the resection reveals a squamous lining.
  
  
  RESULTS
  The median fistula of the upper lip are extremely rare : less than 30 cases reported in the literature. The unusual run of the fistula and the recent appearance of a pituitary syndrome in this patient makes us look for a continuity between it and Rathke's pocket by computed tomography imaging type.
  
  
  CONCLUSIONS
  The association of Goldenhar syndrome and median congenital fistula of the upper lip was never yet described in the literature. The association with hypopituitarism was suspected with the posterior extension of the malformation, not confirmed by the scanner, but strongly suspected jointly by the neurosurgical and plastic surgery team.
authors.affiliation: Service de chirurgie plastique, hôpital La Conception, 147, boulevard Baille, 13005 Marseille, France. Electronic address: drclaire.baptista@gmail.com.
authors.forename: C
authors.initials: C
authors.lastname: Baptista
authors.affiliation: Service de chirurgie plastique, hôpital La Conception, 147, boulevard Baille, 13005 Marseille, France. Electronic address: baptiste.bertrand@ap-hm.fr.
authors.forename: B
authors.initials: B
authors.lastname: Bertrand
authors.affiliation: Hôpital La Timone, 13005 Marseille, France. Electronic address: jacques.bardot@ap-hm.fr.
authors.forename: J
authors.initials: J
authors.lastname: Bardot
authors.affiliation: Service de chirurgie plastique, hôpital La Conception, 147, boulevard Baille, 13005 Marseille, France. Electronic address: dominique.casanova@ap-hm.fr.
authors.forename: D
authors.initials: D
authors.lastname: Casanova
authors.affiliation: Hôpital La Timone, 13005 Marseille, France. Electronic address: nathalie.degardin@ap-hm.fr.
authors.forename: N
authors.initials: N
authors.lastname: Degardin
mesh_terms: D000293:Adolescent; D005260:Female; D006053:Goldenhar Syndrome / Q000150:complications*; D006801:Humans; D008047:Lip Diseases / Q000151:congenital* / Q000601:surgery; D016155:Oral Fistula / Q000151:congenital* / Q000601:surgery
keywords: Congenital fistula; Fistule congénitale; Goldenhar syndrome; Hypopituitarism; Hypopituitarisme; Syndrome de Goldenhar