RESUMEN
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.
Asunto(s)
Mordeduras Humanas/cirugía , Traumatismos Faciales/cirugía , Labio/lesiones , Labio/cirugía , Procedimientos de Cirugía Plástica/métodos , Reimplantación/métodos , Adulto , Amputación Traumática/cirugía , Mordeduras Humanas/complicaciones , Humanos , Labio/irrigación sanguínea , Masculino , Microcirugia , Traumatismos de los Tejidos Blandos/cirugía , Procedimientos Quirúrgicos VascularesRESUMEN
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.
