Congenital fusion of jaw and ankyloblepharon filiforme adnatum: Malformation and multiple systems anomaly
A 3-week-old boy weighing 2 kg, presented with inability to open mouth, difficulty in feeding, and failure to thrive. Antenatal and family history was normal. Contrast enhanced computerized tomography had revealed near complete fusion of jaws with normal palate []. Neonate was not fit for any anaesthesia. He was examined in operational theatre and was found to have complete fibrinous fusion of both jaws except 3 mm slit opening at canine region and obliteration of gingivobuccal sulcus posteriorly []. They were released with bipolar cautery after spraying the local anaesthesia. He also had right partial lateral ankyloblepharon and was released with blunt dissection []. Manual manipulation gradually increases inter- alveolar opening to 20 mm []. Genetic work up and ophthalmic examination were normal. Post-operatively, mother was able to feed the baby well [].