Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jan 6, 2020; 8(1): 175-178
Published online Jan 6, 2020. doi: 10.12998/wjcc.v8.i1.175
Successful treatment of congenital palate perforation: A case report
Jin-Feng Zhang, Wen-Bin Zhang
Jin-Feng Zhang, Wen-Bin Zhang, Department of Oral and Craniomaxillofacial Surgery, Ninth People’s Hospital, Shanghai Jiaotong University School of Medicine; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology, Shanghai 200011, China
Author contributions: Zhang JF and Zhang WB equally contributed to this paper.
Supported by Shanghai Science and Technology Commission Project, No. 17410710500, No. 19441906000, No. YG2015MS02, No. PW2016E-1, and No. JYJX03201810.
Informed consent statement: Informed consent was obtained from the patient.
Conflict-of-interest statement: Both authors declare no conflicts of interest related to this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Wen-Bin Zhang, MD, PhD, Doctor, Department of Oral and Craniomaxillofacial Surgery, Ninth People’s Hospital, Shanghai Jiaotong University School of Medicine; National Clinical Research Center for Oral Diseases; Shanghai Key Laboratory of Stomatology, No. 639, Zhizaoju Road, Huangpu District, Shanghai 200011, China. zwb96493@hotmail.com
Received: October 17, 2019
Peer-review started: October 17, 2019
First decision: November 11, 2019
Revised: November 18, 2019
Accepted: November 27, 2019
Article in press: November 27, 2019
Published online: January 6, 2020
Processing time: 76 Days and 10.4 Hours
Abstract
BACKGROUND

Congenital palate perforation is extremely rare. There is controversy about its exact etiology and appropriate management. Here, a case of congenital palatal perforation is reported. The diagnosis and treatment of the disease are summarized.

CASE SUMMARY

A full-term neonate boy was referred for oral and craniomaxillofacial surgery with a finding of a hole in the palate at birth. The operation was postponed after pediatric consultation because of the patient’s poor nutrition and underweight for his age. At the age of 10 mo, the patient underwent modified von Langenbeck palatoplasty. He was followed for four years after surgery without any signs of re-rupture. His speech was satisfactory.

CONCLUSION

Considering the anatomy and etiology, congenital palate perforation can be classified as isolated or associated with submucous cleft palate, and the treatment procedure should be altered accordingly.

Keywords: Congenital; Palate; Perforation; Craniomaxillofacial; Submucous cleft palate etiology; von Langenbeck palatoplasty

Core tip: Rare cases of congenital palate perforation have been described in the literature. There is not a consensus for its etiology and treatment. Successful treatment of a case of congenital palate perforation is presented in this paper. The diagnosis and critical point of surgery are summarized.