A Surgical Conundrum: Tessier Number 4 Cleft

Objective Among the rarest of the craniofacial clefts is the Tessier no. 4 cleft; and hence little has been published about its management and treatment. Complete forms of the cleft yield poor surgical results because of the shortened oculoalar and oculo-oral distance and inadequate soft and bony ti...

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Bibliographic Details
Published in:The Cleft palate-craniofacial journal 2005-01, Vol.42 (1), p.102-106
Main Authors: Coruh, Atilla, Gunay, Galip K.
Format: Article
Language:English
Subjects:
Biological and medical sciences
Child
Dentistry
Facial bones, jaws, teeth, parodontium: diseases, semeiology
Female
Humans
Infant, Newborn
Male
Maxillofacial Abnormalities - surgery
Medical sciences
Non tumoral diseases
Otorhinolaryngology. Stomatology
Reconstructive Surgical Procedures - methods
Surgical Flaps
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Summary:Objective Among the rarest of the craniofacial clefts is the Tessier no. 4 cleft; and hence little has been published about its management and treatment. Complete forms of the cleft yield poor surgical results because of the shortened oculoalar and oculo-oral distance and inadequate soft and bony tissue. Multiple sequential corrective operations are required. A primary early concern is the protection of the eye, particularly in severe forms in which corneal exposure occurs. This article presents two cases of Tessier no. 4 clefts, one unilateral and the other bilateral, and discusses the problems encountered during their surgical and postoperative managements.
ISSN:1055-6656
1545-1569
DOI:10.1597/03-122.1