Exoscope-Assisted Palatoplasty in Klippel-Feil Syndrome: A Case Report.
Martina Califano, Eleonora Segna, Giada Anna Beltramini et al.
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Case in brief
A patient with cleft palate and Klippel-Feil syndrome had C4-C6 vertebral fusion and cervical hyperostosis that prevented neck hyperextension. These limitations could compromise oral exposure and surgical access during palatoplasty. A three-dimensional exoscope provided visualization of the operative field while the head remained neutral. The procedure was completed uneventfully in 80 min; healing was satisfactory, with no palatal fistula at 10-month follow-up.
What made this case unusual
The exoscope enabled palatoplasty with the head maintained in a neutral position despite cervical abnormalities that precluded hyperextension.
Diagnostic / clinical pearl
In patients with cervical fusion and restricted neck mobility, consider how positioning may limit oral access; this case demonstrates that 3D exoscope visualization can support palatoplasty without cervical hyperextension.