先天性舌癒合症の1例

概要

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A case, fifteen-year-old boy, of congenital unilateral adhesion of the tongue with facial hemiatrophy on the same side was reported.Slight disturbance of speech was noted on admission. The right anterior pillars was located anteriorly, making adhesion to the lateral edge of the tongue, while the right posterior pillar was not found. The right inferolateral surface also showed adhesion to the oral base, so that the patient was unable to stretch out his tongue straight.Plastic surgery was tried to incise the adhesion and to transplant the nasal septal mucosa to prevent the re-adhesion.Besides malformed tongue, slight asymmetry of skull, mandibule and high portion of right clavicule were demonstrated in X-ray films.However, no disturbed movement of sternoclavicular joint was noted.This facial hemiatrophy is likely to be the the same embryological anomaly as seen in the atresia of the ear. Some similarity to orofaciodigital syndrome was also discussed.