Tessier 7 clefts are a rare congenital anomaly, usually surgically repaired with Z-plasty or other reconstructive methods, although undesirable scars may result. We present a review of the literature and a case of unilateral Tessier 7 cleft repaired with a novel reconstruction technique using a combined Z-plasty and geometric broken line closure (GBLC) to camouflage and irregularize the otherwise linear scar. We present this case to expand the armamentarium of surgical options to address Tessier 7 clefts and to review techniques for repair.
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http://dx.doi.org/10.1016/j.ijporl.2020.110546 | DOI Listing |
J Cutan Aesthet Surg
January 2024
Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, SGT University, Gurugram, Haryana, India.
Tessier No. 7 cleft is the most common atypical craniofacial cleft with an incidence of 1:3000-5642 births. This clinical report describes the successful management of a delayed, unusually hypopigmented postoperative facial scar following the surgical closure of a Tessier 7 cleft using the Pfeiffer wave line incision.
View Article and Find Full Text PDFDiagnostics (Basel)
March 2024
Center for Radiological Diagnostics, School of Dental Medicine, University of Belgrade, 11000 Belgrade, Serbia.
Tessier No. 7 cleft, known as lateral facial cleft, is a rare and understudied entity with an incidence of 1/80,000-1/300,000 live births. Besides perioral tissue abnormalities manifesting as macrostomia, Tessier 7 cleft also involves anomalies of the underlying bony structures.
View Article and Find Full Text PDFCleft Palate Craniofac J
January 2025
Department of Oral and Maxillofacial Surgery, University of Toyama, Toyama, Japan.
Cases of severe bilateral Tessier 4 cleft with unilateral Tessier 3 cleft and additional involvement of the amniotic band syndrome are rarer. This case reports a very rare case of ABS with severe facial cleft. Postoperative progress was satisfactory and the patient achieved functional recovery.
View Article and Find Full Text PDFJ Plast Reconstr Aesthet Surg
October 2023
Reconstructive Sciences Unit, Department of Surgery, Hospital Universiti Sains Malaysia, Jalan Raja Perempuan Zainab II, Kubang Kerian, 16150 Kota Bharu, Kelantan, Malaysia; Reconstructive Sciences Unit, Faculty of Medicine and Health Sciences, Universiti Sains Malaysia, Kubang Kerian, 16150 Kota Bharu, Kelantan, Malaysia. Electronic address:
Introduction: Tessier cleft 7 are rare craniofacial clefts. Live-birth incidence varies from 1/80,000 to 1/300,000, with the incidence of 1 in 120 craniofacial clefts among Asians. Its clinical presentation varies widely in severity, thus, complicating diagnosis and contributing to the lack of consensus regarding its surgical management.
View Article and Find Full Text PDFInt J Surg Case Rep
July 2023
Department of Surgery, Universitas Sebelas Maret, Dr. Moewardi General Hospital Surakarta, Indonesia.
Introduction And Importance: Facial cleft is a morphological disruption or defect of facial structure, a rare and challenging craniofacial malformation. The treatment of rare facial cleft is complex, and evaluating its long-term outcome is challenging because of its low incidence.
Case Presentation: In case one, a five-month-old boy presented with unilateral facial cleft Tessier 3.
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