Cargando…

Psychosocial and Sexual Implications of Repaired Cleft Lip in an Adult Male

We describe the case of a 32-year-old man with repaired cleft lip complaining of sexual difficulties, which were determined to be multifactorial in origin. A negative body impression, anatomical difficulty in engaging in sexual acts, the indirect impact of secondary complications of cleft lip, and t...

Descripción completa

Detalles Bibliográficos
Autores principales: Gandhi, Jason, Seyam, Omar, Liang, Raymond, Smith, Noel L, Khan, Sardar A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7358923/
https://www.ncbi.nlm.nih.gov/pubmed/32670700
http://dx.doi.org/10.7759/cureus.8563
_version_ 1783558940788785152
author Gandhi, Jason
Seyam, Omar
Liang, Raymond
Smith, Noel L
Khan, Sardar A
author_facet Gandhi, Jason
Seyam, Omar
Liang, Raymond
Smith, Noel L
Khan, Sardar A
author_sort Gandhi, Jason
collection PubMed
description We describe the case of a 32-year-old man with repaired cleft lip complaining of sexual difficulties, which were determined to be multifactorial in origin. A negative body impression, anatomical difficulty in engaging in sexual acts, the indirect impact of secondary complications of cleft lip, and the negative perception of his dysmorphia from potential sexual partners led to his current state. Cleft lip and palate (CLP) are the most common malformations of the craniofacial region. The malformations of anatomical structures involved in CLP can manifest through several variations of clinical features and phenotypes, typically affecting hearing, social integration, speech, and feeding. From birth to the end of growth, a multidisciplinary approach involving orthodontists, speech therapists, psychologists, and social workers is essential for adequate management, even after surgical repair. This case report illustrates the critical importance of the functionality of normal lips essential for sexual function and psychosocial issues encountered in a patient with repaired cleft lip, as this issue likely has a higher prevalence than the literature actually suggests. Adding a psychiatrist on the panel for pediatric reconstructive surgery teams and post-repair rehabilitation would be essential to managing potential sexual and psychological issues into adulthood.
format Online
Article
Text
id pubmed-7358923
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Cureus
record_format MEDLINE/PubMed
spelling pubmed-73589232020-07-14 Psychosocial and Sexual Implications of Repaired Cleft Lip in an Adult Male Gandhi, Jason Seyam, Omar Liang, Raymond Smith, Noel L Khan, Sardar A Cureus Pediatric Surgery We describe the case of a 32-year-old man with repaired cleft lip complaining of sexual difficulties, which were determined to be multifactorial in origin. A negative body impression, anatomical difficulty in engaging in sexual acts, the indirect impact of secondary complications of cleft lip, and the negative perception of his dysmorphia from potential sexual partners led to his current state. Cleft lip and palate (CLP) are the most common malformations of the craniofacial region. The malformations of anatomical structures involved in CLP can manifest through several variations of clinical features and phenotypes, typically affecting hearing, social integration, speech, and feeding. From birth to the end of growth, a multidisciplinary approach involving orthodontists, speech therapists, psychologists, and social workers is essential for adequate management, even after surgical repair. This case report illustrates the critical importance of the functionality of normal lips essential for sexual function and psychosocial issues encountered in a patient with repaired cleft lip, as this issue likely has a higher prevalence than the literature actually suggests. Adding a psychiatrist on the panel for pediatric reconstructive surgery teams and post-repair rehabilitation would be essential to managing potential sexual and psychological issues into adulthood. Cureus 2020-06-11 /pmc/articles/PMC7358923/ /pubmed/32670700 http://dx.doi.org/10.7759/cureus.8563 Text en Copyright © 2020, Gandhi et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Pediatric Surgery
Gandhi, Jason
Seyam, Omar
Liang, Raymond
Smith, Noel L
Khan, Sardar A
Psychosocial and Sexual Implications of Repaired Cleft Lip in an Adult Male
title Psychosocial and Sexual Implications of Repaired Cleft Lip in an Adult Male
title_full Psychosocial and Sexual Implications of Repaired Cleft Lip in an Adult Male
title_fullStr Psychosocial and Sexual Implications of Repaired Cleft Lip in an Adult Male
title_full_unstemmed Psychosocial and Sexual Implications of Repaired Cleft Lip in an Adult Male
title_short Psychosocial and Sexual Implications of Repaired Cleft Lip in an Adult Male
title_sort psychosocial and sexual implications of repaired cleft lip in an adult male
topic Pediatric Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7358923/
https://www.ncbi.nlm.nih.gov/pubmed/32670700
http://dx.doi.org/10.7759/cureus.8563
work_keys_str_mv AT gandhijason psychosocialandsexualimplicationsofrepairedcleftlipinanadultmale
AT seyamomar psychosocialandsexualimplicationsofrepairedcleftlipinanadultmale
AT liangraymond psychosocialandsexualimplicationsofrepairedcleftlipinanadultmale
AT smithnoell psychosocialandsexualimplicationsofrepairedcleftlipinanadultmale
AT khansardara psychosocialandsexualimplicationsofrepairedcleftlipinanadultmale