Bifid Tongue and Cleft Palate: A Rare Congenital Malformation

Authors

  • I Gusti Ayu Putri Purwanthi Division of Plastic Reconstructive and Aesthetic Surgery, Department of Surgery, Faculty of Medicine Udayana University / Sanglah General Hospital Bali
  • Agus Roy Rusly Hariantana Hamid Division of Plastic Reconstructive and Aesthetic Surgery, Department of Surgery, Faculty of Medicine Udayana University / Sanglah General Hospital Bali
  • I Gusti Putu Hendra Sanjaya Division of Plastic Reconstructive and Aesthetic Surgery, Department of Surgery, Faculty of Medicine Udayana University / Sanglah General Hospital Bali
  • I Made Suka Adnyana Division of Plastic Reconstructive and Aesthetic Surgery, Department of Surgery, Faculty of Medicine Udayana University / Sanglah General Hospital Bali
  • Gede Wara Samsarga Division of Plastic Reconstructive and Aesthetic Surgery, Department of Surgery, Faculty of Medicine Udayana University / Sanglah General Hospital Bali
  • Nyoman Siska Ananda Division of Plastic Reconstructive and Aesthetic Surgery, Department of Surgery, Faculty of Medicine Udayana University / Sanglah General Hospital Bali

DOI:

https://doi.org/10.14228/jprjournal.v8i2.331

Keywords:

Bifid Tongue, Cleft Tongue, Cleft Palate, Congenital Anomaly

Abstract

Background: Congenital bifid tongue without other craniofacial abnormalities is a very rare malformation. Here, we discuss a case of the bifid tongue with cleft palate, reported in a 7-month-old girl with no other syndromes or craniofacial abnormalities.

Case Reports: This case report described a 7-month-old girl with an anterior bifid tongue, separated medially by a soft, solitary sublingual mass measuring 3 cm x 2 cm in size. There was also an associated incomplete cleft palate. A soft solitary mass measuring 2 cm x 2 cm in size was also seen within the cleft palate.

Results: Computed facial tomography (CT) revealed a midline hard palate defect with an intact alveolar process of the maxilla. Pedunculated cystic lesion suspected with epulis was noted to arise on premaxillary alveolar mucosa. Excision of the tongue and hard palate mass and repair of the bifid tongue were done.

Summary: Congenital bifid tongue with a cleft is a very rare malformation with different variations. Early surgical intervention is critical to prevent speech impairment and swallowing disorders. A multidisciplinary approach, including well-planned staged operations and rehabilitation, is important to achieve favorable outcomes.

References

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Published

11-12-2024

How to Cite

1.
Bifid Tongue and Cleft Palate: A Rare Congenital Malformation. J Plast Rekons [Internet]. 2024 Dec. 11 [cited 2025 Aug. 7];8(2):88-92. Available from: https://dev.jprjournal.com/index.php/jpr/article/view/331

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