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Congenital Anomalies

Congenital anomalies, also called birth defects, are structural or functional abnormalities present from birth. These may affect facial features, limbs, genitals, spine, or internal organs and can impact function, appearance, or both.

At Elegance Clinic, we offer comprehensive evaluation and surgical correction of various congenital deformities through highly specialised reconstructive plastic surgery. Our goal is to improve both physical outcomes and emotional well-being.

When Is Treatment for Congenital Anomalies Needed?

Surgical or medical care is recommended when anomalies cause:

  • Feeding or speech difficulty
  • Restricted limb function
  • Urinary or genital issues
  • Aesthetic concerns affecting confidence
  • Increased risk of infections
  • Social or psychological challenges

Types of Congenital Anomalies and Conditions Treated

Facial and Oral Deformities

  • Cleft lip, palate, and nose deformity
  • Types of facial clefts, like bilateral or unilateral
  • Congenital anomalies of the  nose

Hand and Finger Anomalies

  • Syndactyly (fused fingers)
  • Polydactyly (extra fingers)
  • Clinodactyly (curved finger)
  • Macrodactyly (enlarged finger)
  • Amniotic band syndrome
  • Auto-amputation of digits
  • Radial club hand

Penile and Urethral Anomalies

  • Hypospadias and Epispadias
  • Congenitally short urethra
  • Buried penis
  • Undescended testes
  • Phimosis
  • Small penis
  • Bifid scrotum
  • All classified under penile congenital anomalies

Spinal Cord Defects

  • Reconstruction of Meningomyelocele
  • Correction of abnormal hair growth over the spine

Ear Anomalies

  • Anotia, Microtia (underdeveloped or absent ear)
  • Lobe ear, Bifid ear lobe
  • Preauricular sinus
  • AV malformation (arteriovenous malformation)

Muscular Deformities

  • Torticollis (twisted neck)
  • Spastic muscles in children

Neurovascular Deformities

  • Haemangioma (vascular birthmark)
  • Vascular malformations: arterial or venous
  • Neurofibroma, Plexiform neurofibroma

Tongue and Facial Movement Issues

  • Tongue tie (ankyloglossia)
  • Facial nerve deficit
  • Syndromes like Treacher Collins, Craniosynostosis, and Hemifacial microsomia

Pre-Treatment Protocol

Each patient undergoes:

  • Detailed physical examination and diagnosis
  • Imaging or genetic workup if needed
  • Growth and functional assessment
  • Parent counselling and pre-op preparation
  • Surgical planning with a multidisciplinary team

Treatment Process: How We Manage Congenital Anomalies

  • Cleft lip/palate repair with aesthetic and speech improvement
  • Hand anomalies surgery for better grip and motion
  • Genital reconstruction for urinary and cosmetic correction
  • Ear reshaping (otoplasty) or ear framework reconstruction
  • Excision of vascular tumours or laser therapy for haemangiomas
  • Microsurgery for neurovascular malformations
  • Release of tongue tie for better speech and feeding
  • Spinal defect reconstruction to prevent neurological decline
  • Facial bone reshaping in syndromic conditions

Duration of Treatment

  • Most surgeries take 1–4 hours
  • Hospital stay: 1–3 days, depending on complexity
  • Multiple stages may be required for some deformities
  • Full functional recovery: varies by condition (2 weeks to 6 months)

Clinical Considerations: Risks and Benefits

Risks:
  • Bleeding or infection
  • Scar formation
  • Need for revision surgery
  • Growth-related recurrence (in children)
Benefits:
  • Improved function (speech, grip, urination)
  • Enhanced appearance and confidence
  • Better social and developmental outcomes
  • Reduced risk of complications in adulthood
Aftercare Instructions
  • Follow wound care protocol
  • Use prescribed medications and creams
  • Attend all follow-up visits
  • Physiotherapy or speech therapy, if advised
  • Monitor growth milestones and development
Recovery Timeline
  • Minor soft-tissue surgeries: 2–3 weeks
  • Skeletal or complex deformities: 2–6 months
  • Multi-stage cases may extend over a year
  • Long-term monitoring is recommended until adolescence

When to Consult for Congenital Anomalies?

You should consult a specialist at Elegance Clinic if your child shows:

  • Abnormal face, limb, genital, or ear development
  • Difficulty in feeding, urination, or speech
  • Unusual growths or vascular spots
  • Signs of spinal or muscular deformities
Elegance clinic, Surat

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    FAQ

    A congenital anomaly is a birth defect or developmental disorder present at or before birth. These can affect various parts of the body, including the face, limbs, genitals, or internal organs, and may impact appearance or function.

    Some steps that can help reduce the risk of congenital anomalies include:

    • Avoiding alcohol, tobacco, and harmful medications during pregnancy
    • Ensuring adequate prenatal nutrition and folic acid intake
    • Getting vaccinated and avoiding infections during pregnancy
    • Attending regular prenatal check-ups
    • Undergoing genetic screening if there’s a family history of anomalies
    • Genetic abnormalities (inherited or spontaneous mutations)
    • Environmental exposures (chemicals, radiation, drugs)
    • Maternal infections during pregnancy (e.g., rubella, Zika)
    • Nutritional deficiencies (e.g., lack of folic acid)

    Pregnancy complications that may impact both mother and child may include:

    1. Preterm labor
    2. Preeclampsia
    3. Gestational diabetes
    4. Fetal growth restriction
    5. Placenta previa
    6. Congenital anomalies
    7. Maternal infections
    8. Miscarriage
    9. Vaginal or uterine bleeding
    10. Fetal distress

     

    The most common causes of congenital anomalies are usually genetic abnormalities and environmental factors (e.g., teratogens during pregnancy).