Unusual Acquired Naso-Labial Cleft Secondary to a Horse Hoof Blow: A Case Report from Sédhiou (Senegal)
Fente Naso-Labiale Inhabituelle Secondaire à un Coup de Sabot de Cheval : À Propos d’un Cas à Sédhiou (Sénégal)
DOI:
https://doi.org/10.5281/hra.v3i9.7006Keywords:
Acquired naso-labial cleft, Facial trauma, Child, Reconstructive surgeryAbstract
RÉSUMÉ
Les fentes naso-labiales acquises chez l’enfant constituent une entité rare mais cliniquement significatives. Elles peuvent être secondaires a des traumatismes faciaux et la prise en charge constitue un défi pour le praticien. Nous rapportons un cas de fente nasolabiale acquise chez un enfant avec un mécanisme de survenue particulier, un coup de sabot de cheval. La prise en charge chirurgicale a consisté en une suture du muscle orbiculaire, un réalignement du bord narinaire et une fermeture cutanée en suivant les lignes de tension esthétiques. L’évolution post-opératoire a été favorable avec une cicatrisation sans complication et sans limitation fonctionnelle de la lèvre. Ce mécanisme peu fréquent dans la littérature scientifique est plus susceptible d’etre rencontré dans des zones rurales comme Sédhiou au sud du Sénégal ou les ânes, les chevaux sont communément utilisés pour les activités agricoles ou domestiques.
ABSTRACT
Acquired naso-labial clefts in children are a rare but clinically significant entity. They can result from facial trauma, and their management presents a challenge for the practitioner. We report a case of acquired nasolabial cleft in a child with a particular mechanism of injury, a horse hoof blow. Surgical management involved suturing of the orbicularis oris muscle, realignment of the alar border, and skin closure following aesthetic tension lines. Postoperative outcomes were favorable, with uncomplicated healing and no functional limitation of the lip. This uncommon mechanism, rarely reported in the scientific literature, is more likely to occur in rural areas such as Sédhiou in southern Senegal, where donkeys and horses are commonly used for agricultural or domestic activities.
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Copyright (c) 2025 Kadielle Junie Ndadi Tchiengang, Eliada Victoire Tchiengang, Yannick Kizonde Kalungwe, Evelyne Siga Diom, Bay Karim Diallo
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