RESUMO
Traumatic facial soft tissue injury often creates both aesthetic and functional deficits. In complete lip avulsions, microvascular replantation is a reconstructive option that has the potential to fulfill both of these goals. However, lip replantations remain rare and there are few reports in the literature. The authors aim to present a clinical report of a young male who sustained a human bite injury and underwent microvascular replantation of a completely avulsed lower lip and to review the literature and management of these complex injuries.
Assuntos
Mordeduras Humanas/cirurgia , Traumatismos Faciais/cirurgia , Lábio/lesões , Lábio/cirurgia , Procedimentos de Cirurgia Plástica/métodos , Reimplante/métodos , Adulto , Amputação Traumática/cirurgia , Mordeduras Humanas/complicações , Humanos , Lábio/irrigação sanguínea , Masculino , Microcirurgia , Lesões dos Tecidos Moles/cirurgia , Procedimentos Cirúrgicos VascularesRESUMO
Wieacker-Wolff syndrome is a rare congenital syndrome with few reported cases in the current literature. It is traditionally described in males as an X-linked recessive disorder associated with congenital contractures of the feet, progressive neurologic muscular atrophy, and intellectual delay caused by ZC4H2 mutations. The purpose of this paper is to present a female individual with a classic phenotype and cleft palate, a previously undescribed finding in this syndrome. Recent reports have demonstrated that females are rarely severely affected and phenotypic expression is difficult to predict [Zanzottera et al. (); American Journal of Medical Genetics Part A 173A: 1358-1363]. This case supports the unpredictability of Wieacker-Wolff syndrome severity and prompts future questions regarding female mutations and phenotypic expression.
