Bilateral Thymus Found in Association with Unilateral Cleft-Lip and Palate

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Küçük Resim

Tarih

1989

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

WILLIAMS & WILKINS

Erişim Hakkı

info:eu-repo/semantics/openAccess

Özet

The thymus usually develops during the sixth week of fetal life from the third pharyngeal pouch at the anterolateral surface. During the seventh fetal week it becomes bilateral, and during the eighth week the two lateral segments start descending to the midline and inferiorly, approaching one another, but they do not unite until the beginning of the ninth week, when they descend in front of the large vessels of the thorax and join. The literature has told us that remnants of the thymus can be encountered from the thyroid cartilage onto the pericardium.' However, a bilateral ectopic thymus gland, especially being found on the surface of the skin and being in association with a cleft lip and palate, has not been reported. In this case report, we are reporting on a 17- day-old baby girl who had a unilateral cleft lip and alveolar cleft in association with a bilateral thymus in the skin of her neck. After discovering that these were bilateral thymus glands and that they were important for the child in her immu- nologic development, we did not remove them, but rather buried them underneath the skin surface with the vascular pedicles preserved. The lung x-ray did not show a mediastinal mass pertaining to the presence of a thymus. The immunologic blood work was within normal limits. At 3 months, a lip reconstruction was done with a modified Millard technique, and at 6-month and 1-year followups, the child showed normal evolution. Because this is not a finding that has been published in literature, this case report is being presented.

Açıklama

Anahtar Kelimeler

Kaynak

Plastic and Reconstructive Surgery

WoS Q Değeri

N/A

Scopus Q Değeri

Q1

Cilt

83

Sayı

1

Künye

Çivi, İ., Kurtay, M., Çivi, S., (1989). Bilateral Thymus Found in Association with Unilateral Cleft-Lip and Palate. Plastic and Reconstructive Surgery, 83(1), 143-147.