Management of congenital median perineal cleft in children: a report of 7 cases / 中华整形外科杂志

ABSTRACT

<p><b>OBJECTIVE</b>To discuss the treatment and diagnosis of congenital median perineal cleft in children.</p><p><b>METHODS</b>Between January 2009 to February 2013, 7 cases were diagnosed as congenital median perineal cleft according to the symptoms. Among them, 4 cases underwent surgery to correct cleft with double triangular perineal flaps. The other 3 cases with minor cleft did not receive surgery management.</p><p><b>RESULTS</b>There is an median cleft from the perineum to the anus with mucosa on the cleft surface. Primary healing was achieved in all the four patients with satisfactory appearance. The patients were followed up for 1-4 years with almost normal perineal appearance.</p><p><b>CONCLUSIONS</b>Congenital perineal median cleft can be diagnosed according to the symptoms. Double triangular perineal flaps can be effectively correct the cleft to attain normal perineal appearance.</p>