Congenital anomalies of face & urinary system Dr Hatem El Gohary

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Congenital anomalies of face & urinary system Dr Hatem El Gohary

  1. 1. Congenital Anomalies of The Face Dr Hatem El Gohary Lecturer of General Surgery
  2. 2. Cleft lip and palate • cleft lip alone: 15%; • cleft lip and palate: 45%; • isolated cleft palate: 40%.
  3. 3. AETIOLOGY • Genetic. • Maternal anti-epileptic drugs.
  4. 4. Problem • Speech. • Feeding. • Hearing.
  5. 5. Types (a) Unilateral cleft lip with alveolar involvement; (b) bilateral cleft lip with alveolar involvement; (c) unilateral cleft lip associated with cleft palate; (d) bilateral cleft lip and palate; (e) cleft palate only.
  6. 6. Cleft lip (unilateral or bilateral) • The abnormalities in cleft lip are the direct result of disruption of the muscles of the upper lip and nasolabial region. • Involving the external nasal cartilages, nasal septum and anterior maxilla (premaxilla).
  7. 7. Cleft palate • Cleft palate results in failure of fusion of the two palatine shelves. • Types: -soft palate only - soft and hard palate.
  8. 8. TREATMENT Surgical Repair • 3-6 months in cleft lip (One operation). • 6-18 months in cleft palate.(one or two operations).
  9. 9. Congenital anomalies of The Urinary system
  10. 10. WILMS’ TUMOR (Nephroblastoma) • most common childhood abdominal malignancy. • Caused by genetic abnormalities.
  11. 11. Diagnosis Symptoms • Abdominal pain. • Hematuria. • Fever. • Respiratory symptoms e.g.cough and dypsnea (due to lung metastasis). Signs • Abdominal mass. • Varicocele.
  12. 12. Investigations • Chest x ray  to detect lung metastasis. • Abdominal Ultrasound  Tumour of the kidney. • CT and MRI  To detect relation of the tumour to the surrounding and invasion of the IVC.
  13. 13. Treatment: Nephrectomy .Radiotherapy+Chemotherapy
  14. 14. Hypospadias Definition: Congenital abnormal opening of the urethra in the underside of the penis. Characterized by The dorsal Foreskin is hooded
  15. 15. Aetiology: Failure of complete urethral tubularisation in the male fetus. Types: • First degree: Glanular(distal) • Second dgree: Mid-shaft. • Third degree: Scrotal or perineal.
  16. 16. Treatment • Avoid circumcision. • Surgical repair Before the age of 2 years.

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