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Amniotic constriction band: a report of two cases with unique clinical presentations

Journal of the Korean Association of Oral and Maxillofacial Surgeons / Journal of the Korean Association of Oral and Maxillofacial Surgeons, (P)2234-7550; (E)2234-5930
2017, v.43 no.3, pp.171-177
Sunil Richardson (Craniofacial Hospital)
Rakshit Vijay Khandeparker (Craniofacial Hospital)
Philippe Pellerin (Centre Hospitalier Régional Universitaire de Lille)

Abstract

Amniotic constriction band is a rare clinical entity with varied manifestations that range from a combination of congenital malformations to isolated malformations that are unique to each patient. The etiology of this entity remains unknown. Herein, we highlight two cases of amniotic constriction band that presented to our unit with unique clinical characteristics. To the best of our knowledge, an isolated circumferential band of scarring on the face with ocular involvement, as demonstrated by the first case, and a combination of bilateral complete cleft lip and palate with bilateral microphthal-mia, auto-amputation of the right thumb, and a constriction band on the left thumb, as demonstrated by the second case, are extremely rare presenta-tions of amniotic constriction band that were not previously reported in the literature and therefore necessitate a special mention. We discuss potential etiologies for these cases and review the existing literature on this entity.

keywords
Amniotic constriction band, Circumferential band, Bilateral cleft lip and palate, Auto-amputation, Microphthalmos

Journal of the Korean Association of Oral and Maxillofacial Surgeons