Cleft palate can present in varying degrees of severity. Based on the development of the palate, the minimal expression is a posterior cleft. Submucous clefting is well described, and the reason for it is also postulated. However, a congenital hard palate fistula, with a normally developed posterior palate (with its full complement of mesodermal element), is extremely rare and difficult to explain embryologically. We document a case of this nature and review various embryological theories in an attempt to explain this occurrence.
European Journal of Plastic Surgery – Springer Journals
Published: Jul 1, 2003
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