A method of repairing the no. 3 facial cleft

Madaree, Anil; Morris, W.M.; McGibbon, Ian C.

doi:10.1016/0007-1226(92)90115-e

Cited by 5 publications

(4 citation statements)

References 6 publications

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“…Chen et al (2012) believed that minimal scarring, good colour matching, and natural facial expression were the key factors determining a good aesthetic outcome following correction of a craniofacial cleft, and that the traditional approach, using the interdigitating Z-plasty technique (Madaree et al, 1992;Laure et al, 2010;Bütow and Botha, 2010), usually led to a suboptimal result of significant scarring, poor skin colour matching and unnatural facial expressions. Thus they proposed the concept of midface rotation-advancement with repositioning of the nasalis and facial expression muscles, and placement of the suture lines along the junction of the nasal and cheek facial subunits to avoid the drawbacks stated above.…”

Section: Discussionmentioning

confidence: 99%

Severe bilateral Tessier 3 clefts in a Uighur girl: The significance and surgical repair

Wang

Yang

et al. 2013

Journal of Cranio-Maxillofacial Surgery

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Section: Discussionmentioning

confidence: 99%

Severe bilateral Tessier 3 clefts in a Uighur girl: The significance and surgical repair

Wang

Yang

et al. 2013

Journal of Cranio-Maxillofacial Surgery

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“…Thirty-two (97%) of the included studies showed evidence of the knowledge of morphology of Tessier craniofacial clefts numbers 3 and 4 [7, 24–54]. Evidence shows that the knowledge of morphology was expressed by describing the clefts as complete, while five of the studies (15.6%) described a form of the cleft as incomplete [26, 27, 33, 34, 41]. Knowledge of morphology of complete clefts…”

Section: Resultsmentioning

confidence: 99%

“…Five (12.1%) of the 32 studies that reported on the evidence of the knowledge of morphology showed evidence of incomplete cleft [26, 27, 33, 34, 41]. In their studies, Giglio and colleagues who aimed at reviewing a large collection of the rare cleft number based on a single surgeon’s perspective and Madaree et al, whose aim was to describe a method of correction of an incomplete number 3 cleft while comparing with previously documented methods, described the incomplete cleft as sparing the lip [33, 34]. Evidence from these studies show that there is a paucity of literature on the morphology of the incomplete Tessier craniofacial clefts numbers 3 and 4.…”

Section: Resultsmentioning

confidence: 99%

Scoping review of the morphology and anthropometry of Tessier craniofacial clefts numbers 3 and 4

et al. 2019

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BackgroundIn 2016, WHO reported a death rate of 303,000 newborns before 4 weeks of age due to congenital anomalies. Those that survive congenital anomalies may have long-term disabilities which may have significant impacts on the individual, their families, the healthcare system, and societies. Tessier craniofacial clefts numbers 3 and 4 are congenital anomalies that result in a partial or total defect of craniofacial tissues thereby seriously influencing the patient’s appearance and impair normal functioning. Therefore, understanding these defects is paramount to relieving the burden caused by this disability. The objective of this review was to examine the literature on the understanding of the knowledge of morphology and anthropometry of Tessier craniofacial clefts numbers 3 and 4 so that areas yet to be fully understood by research can be mapped out for future research.Methods and analysisA scoping review for literature on patients who have Tessier craniofacial clefts numbers 3 and 4 was conducted. Relevant studies from 1976 to the present were identified. The following databases were searched for peer-reviewed literature viz., PubMed, MEDLINE, EBSCOhost, Google Scholar, and the Cochrane library. The study selection was guided by the eligibility criteria. A data table was designed to extract information from the literature. The result of this study was reported using the Preferred Reporting Items for Systematic reviews and Meta-analyses (PRISMA). The quality of the included studies was assessed using the Mixed Method Appraisal Tool (MMAT).ResultThirty-three studies met the inclusion criteria. The majority of the studies included were conducted in middle-income countries (54.5%) and some in high-income countries (45.5%); none was recorded from low-income countries. The total available sample size from the studies was 120 with a dominant male population of 67 (55.8%) and female 53 (44.2%). The majority (97%) of the studies reported on the knowledge of morphology while 12.1% of the included studies reported on anthropometry. Of the 33 included studies, 32 scored the highest quality (76–100%) from the quality assessment.DiscussionThe findings from this review show evidence of the knowledge of morphology and the knowledge of anthropometry of Tessier craniofacial clefts numbers 3 and 4. However, these knowledges have not translated to universally recognized ways of repairing and documenting these clefts due to the sparse amount of studies on Tessier craniofacial clefts numbers 3 and 4.Electronic supplementary materialThe online version of this article (10.1186/s13643-019-0951-6) contains supplementary material, which is available to authorized users.

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“…The medially based turnover flap was used to fill the gap. [ 13 ] Monasterio et al . (1992) used a local transposition flap to correct the skin shortening between the medial canthus and the eye.…”

Section: Discussionmentioning

confidence: 99%

Options for the nasal repair of non-syndromic unilateral Tessier no. 2 and 3 facial clefts

Reddy¹,

Reddy²,

Obwegeser

et al. 2014

Indian J Plast Surg

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Background:Non-syndromic Tessier no. 2 and 3 facial clefts primarily affect the nasal complex. The anatomy of such clefts is such that the ala of the nose has a cleft. Repairing the ala presents some challenges to the surgeon, especially to correct the shape and missing tissue. Various techniques have been considered to repair these cleft defects.Aim:We present two surgical options to repair such facial clefts.Materials and Methods:A nasal dorsum rotational flap was used to treat patients with Tessier no. 2 clefts. This is a local flap that uses tissue from the dorsal surface of the nose. The advantage of this flap design is that it helps move the displaced ala of a Tessier no. 2 cleft into its normal position. A forehead-eyelid-nasal transposition flap design was used to treat patients with Tessier no. 3 clefts. This flap design includes three prongs that are rotated downward. A forehead flap is rotated into the area above the eyelid, the flap from above the eyelid is rotated to infra-orbital area and the flap from the infraorbital area that includes the free nasal ala of the cleft is rotated into place.Results and Conclusions:These two flap designs show good results and can be used to augment the treatment options for repairing Tessier no. 2 and 3 facial clefts.

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A method of repairing the no. 3 facial cleft

Cited by 5 publications

References 6 publications

Severe bilateral Tessier 3 clefts in a Uighur girl: The significance and surgical repair

Severe bilateral Tessier 3 clefts in a Uighur girl: The significance and surgical repair

Scoping review of the morphology and anthropometry of Tessier craniofacial clefts numbers 3 and 4

Options for the nasal repair of non-syndromic unilateral Tessier no. 2 and 3 facial clefts

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