Description and successful management of a patient with Tessier no. 0 and 1 facial cleft is being presented. This bizarre coexistence of two of the rare facial clefts in a single patient deserves a place in the cleft database. Appropriate evaluation was done to rule out the presence of median cleft face syndrome. Lip cleft was repaired by straight line technique with staggering at the vermilion border. Nasal cleft was reconstructed by replacing the missing lower lateral cartilage with conchal cartilage via endonasal approach. Satisfactory outcome was achieved for this singular deformity by conforming to the basic tenets of plastic surgery.
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http://dx.doi.org/10.1007/s12663-009-0043-6 | DOI Listing |
Neurosurg Focus
January 2025
3ENT and Head and Neck Research Center and Department, The Five Senses Health Institute, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Objective: Craniofacial clefts, characterized by congenital disruptions in the development of facial and cranial tissues, often present alongside orbital hypertelorism (ORH), an abnormal increase in the interorbital distance. These conditions pose significant challenges in craniofacial surgery due to the complex anatomical and functional considerations involved. This single-center cohort study retrospectively analyzed 22 patients diagnosed with craniofacial cleft syndromes and ORH who were treated at the Craniofacial Centre, Fatima Plastic and Reconstructive Surgery Hospital between July 2016 and October 2023.
View Article and Find Full Text PDFCleft Palate Craniofac J
November 2024
Department of Plastic Surgery, Cleft and Craniofacial Center, Shizuoka Children's Hospital, Shizuoka, Japan.
A true median cleft is an extremely rare congenital anomaly characterized by a midline vertical cleft and various deformities, also known as Tessier number 0 cleft. Here we report a case of a 5-year-old Asian boy with true median cleft associated with sinus tracts in the nasal septum, a phenomenon not previously reported in the literature. The tracts were identified as the cause of recurrent infections around the oral vestibule and upper lip.
View Article and Find Full Text PDFCureus
October 2024
Plastic and Reconstructive Surgery, SRM Medical College Hospital and Research Centre, Chennai, IND.
Tessier 7 cleft, or transverse facial cleft, is a rare congenital anomaly involving lateral facial tissues, often resulting from embryonic disruptions in the first and second branchial arches. It presents varying severities from macrostomia to complete clefts affecting soft tissue and skeletal structures. Surgical management is challenging, requiring a multidisciplinary approach for functional and aesthetic reconstruction.
View Article and Find Full Text PDFJ Craniofac Surg
November 2024
Division of Plastic Surgery, DeWitt Daughtry Family Department of Surgery, University of Miami, Miami, FL.
Introduction: Plastic surgery played a crucial role during the World Wars. Surgeons dedicated their careers to reconstructing facial injuries and residual deformities incurred during combat. Times of unprecedented trauma led to rapid innovation in plastic surgery, with invaluable impact on practice today.
View Article and Find Full Text PDFJ Plast Reconstr Aesthet Surg
October 2024
Burns & Plastic Surgery Center, Hayatabad Medical Complex, Peshawar, Pakistan.
Background: Standardization of surgical protocols is an evolving issue owing to the low incidence of rare craniofacial clefts. In this article, we present our surgical management technique for repair of rare craniofacial clefts and evaluate the postoperative results.
Methods: This study was conducted from 2013 to 2022 and included patients who presented with craniofacial clefts.
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