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. In case two, a four-month-old girl presented with bilateral facial cleft Tessier 4. Both were treated with soft tissue reconstruction.

Clinical Discussion: Several combinations of sutures were performed to give maximum results, and several surgical steps were conducted to treat facial clefts.

Conclusion: A one-step closure procedure of facial clefts could be done and significantly improve the patient and family's quality of life. One-step closure can also close defects as soon as possible to provide psychological support to the family even though the function is not perfect.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10382801PMC
http://dx.doi.org/10.1016/j.ijscr.2023.108454DOI Listing

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