Introduction: Popliteal pterygium syndrome is a rare birth defect, combining craniofacial, genitourinary and musculoskeletal abnormalities. It an autosomal dominant disease caused by mutation in the IRF6 gene. We report this observation 1st Guinean case corrected surgical method as well review of literature for diagnostic therapeutic approach. Patient observation: present 7-day old male newborn...

Overlapping fifth toe is a congenital deformity and is characterized by an external rotation of the toe so that it overrides the adjacent fourth toe [1]. A number of factors may play a part in the pathophysiology of this condition including proximal phalanx axial rotation, medial deviation of the toe, skin contracture, and a hyperextension deformity of the Metatarsophalangeal (MTP) joint as a r...

1014 The primary goal of palatoplasty is anatomical reconstruction of an intact palate to allow for development of normal speech while minimizing the incidence of oronasal fistula and ensuring long-term harmonious facial growth. Kriens1 first drew attention to the muscular anatomy of the soft palate, describing the abnormal positioning of the levator veli palatini muscle and loss of integrity o...

BACKGROUND Velopharyngeal insufficiency (VPI) may persist after primary repair of the cleft palate, and surgical correction is necessary in many cases. The purpose of this study is to evaluate the effect of double opposing Z-plasty (DOZ) in cleft palate patients suffering from VPI after primary two-flap palatoplasty. METHODS Between March 1999 and August 2005, we identified 82 patients who un...