Ryosuke Uchi

Keio University, Japan

Title: Congenital maxillomandibular synechia with multiple malformations in a very-low-birth-weight infant: A case report

Abstract

Congenital maxillomandibular synechia is a rare malformation that is characterized by a fusion of the maxilla and mandible. The fusion prevents mouth opening, which causes difficulties in feeding and occasionally in breathing. Although extremely rare, neonatologists must understand the disease because it can be fatal and require emergency treatment after birth. We report the case of a very-low-birth-weight (VLBW) infant with congenital maxillomandibular synechia and other malformations, including cleft palate, syndactyly, and cryptorchidism. The patient presented with extremely limited mouth opening, and endotracheal intubation seemed impossible; fortunately, the patient did not have respiratory distress syndrome. The patient underwent surgical release of the fibrous bands on days 10 and 17, and good mouth opening was achieved. The patient was able to consume breast milk orally and was discharged home at a corrected gestational age of 1 month without recurrence of difficulty in mouth opening or any sequelae. This is the first reported case of a VLBW infant with congenital maxillomandibular synechia who required more complicated management of feeding, surgical intervention, and anesthesia.

Biography

Ryosuke Uchi has got medical degree from Tohoku University and have been working as a pediatrician and neonatologist. He has completed pediatric residency from Yokohama City University Hospital and his fellowship in neonatology from the prestigious Japanese Red Cross hospital. Currently he is making research on brain development at Keio University.

2nd International Conference on Pediatrics and Healthcare

Ryosuke Uchi

Title: Congenital maxillomandibular synechia with multiple malformations in a very-low-birth-weight infant: A case report

Abstract

Biography

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