Congenital Intra-Oral Adhesions: Lateral Palatal Synechia Associated with Cleft Palate: A Case Report and Review of the Literature

ABSTRACT

Background: Lateral palatal synechiae are rare congenital adhesions running from the free borders of the cleft palate to the lateral parts of the tongue or the oral cavity floor, typically found in cleft palate lateral synechiae syndrome. In this study, we present a case of a cleft palate associated with lateral synechiae (intraoral fibrous band) extending from the margin of the cleft palate to the floor of the mouth on the left side. Management of the oral synechia should aim to allow for airway stability, successful oral nutrition and oro-mandibular development. The surgical treatment started with Surgical transection of the band under general anesthesia to facilitate the palatoplasty procedure. Oral synechia may present as an isolated abnormality or as a component of the syndrome. Only a few isolated cases of oral synechia have been previously reported in the literature. In this study we discuss variations in intraoral synechiae associated with cleft palate and the etiology of lateral palatal synechiae through a literature review