Combination of Tessier clefts 3 and 4: Case report of a rare anomaly with 12 years' follow-up

Oyama, Akihiko; Okamoto, Toru; Funayama, Emi; Furukawa, Hiroshi; Hayashi, Toshihiko; Murao, Naoki; Sato, Yoshiaki; Yamamoto, Yuhei

doi:10.1016/j.jcms.2014.09.003

Cited by 12 publications

(5 citation statements)

References 9 publications

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“…Four of the six FC 4 clefts had FC 7, FC 8, FC 9, and FC 10 clefts in association to their clefts while one presented with amniotic bands in the limbs as well (Table 3). Of the 16 articles that made the review, 4 (25%) reported associated clefts in 8 (28.6%) of the patients (Allam et al, 2014; Maeda et al, 2014; Golinko et al, 2018; Oh and Park, 2018). The FC 4 studies had no associated clefts reported but the FC 3 studies had 4 (14.3%) patients with FC 11 and 3 (10.7%) patients with FC 10 and 1 (3.6%) patient with FC 13 (Table 2).…”

Section: Resultsmentioning

confidence: 99%

“…The initial literature search yielded 35 articles with relevance to our study. After going through the title, abstract and full article screening, 16 articles (Gawrych et al, 2010; Laure et al, 2010; Sesenna et al, 2012; Wu et al, 2013; Allam et al, 2014; Bordoloi, 2014; Maeda et al, 2014; Spolyar et al, 2015; Mohammad Nor et al, 2016; Xu et al, 2016; Balaji, 2017; Assouan et al, 2018; Golinko et al, 2018; Oh and Park, 2018; Kim et al, 2019; Abdulwahab et al, 2020) were procured and enrolled for review (Table 2). Twelve (75%) of the articles originated from high-income countries while 4 (25%) were from low-income countries.…”

Section: Resultsmentioning

confidence: 99%

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Tessier Number 3 and 4 Clefts: Clinical Presentation and Associated Clefts in a South African Population

Omodan

Pillay

Lazarus

et al. 2021

The Cleft Palate Craniofacial Journal

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Introduction The defects found in Tessier clefts number 3 and number 4 come in various forms in different patients. These variations have to a great extent affected not only documentation of these craniofacial defects but invariably their treatment and communication amongst craniofacial researchers. This study has not only documented the clinical presentation of these clefts in a South African population but has also incorporated the clinical presentation of Tessier clefts number 3 and 4 from different regions of the world. Methods The records of 8 patients, who had been treated for either Tessier clefts number 3 or 4, were reviewed and compared with 16 studies pulled from the literature systematically. The defects recorded as well as associated clefts and other congenital malformations were documented, and findings were compared. Results The anatomical and clinical presentation of the patients was compared to the reviewed literature and the different parameters were documented. In addition, associated clefts were also recorded in the study—it was noted that the association pattern recorded in Tessier cleft number 4 in this study did not conform to its traditional counterpart. Conclusion This study concluded that the clinical presentations of these clefts, however variable, seem to have a similar presentation worldwide. Additionally, associated clefts do not conform to the original Tessier classification system and therefore it is imperative for these patterns to be clearly mapped out.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Tessier Number 3 and 4 Clefts: Clinical Presentation and Associated Clefts in a South African Population

Omodan

Pillay

Lazarus

et al. 2021

The Cleft Palate Craniofacial Journal

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“…The management of patients with these rare craniofacial clefts is challenging and will require multidisciplinary team approach which will execute the care plan in an individualized, multistage treatment protocol (Versnel et al , 2011; Maeda et al , 2014). A suggested management protocol include: a detailed clinical evaluation, the use of 3D diagnostic imaging like the Computerized Tomographic Scan (CT) and Cone Beam Computerized Tomographic (CBCT) to delineate the full spectrum of the anomaly which ensure proper diagnosis.…”

Section: Introductionmentioning

confidence: 99%

Presentation and Management of Atypical Orofacial Clefts: A Single-Institution Experience for 13 Year Period

James

Sabo

Adamson

et al. 2021

The Cleft Palate Craniofacial Journal

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This study reviews the craniofacial clefts that presented at a Nigerian tertiary health facility, highlighting our experience with the pattern of presentation and surgical care of these patients. A retrospective review of the smile train database and medical records of all individuals who had been diagnosed with any of the Tessier craniofacial clefts and managed between 1st January 2007 and 31st December 2020 was done. The data were presented as numbers and percentages of cases. The cleft clinic of a tertiary health facility and a major cleft referral center in South-West Nigeria. Forty-five patients with craniofacial clefts were managed over the study period. 15.6% had associated syndromes, 2.2% had a family history of similar craniofacial cleft and 11% had a history of a possible teratogen. There were 21 (46.7%) middle clefts, 14(31.1%) lateral clefts and 10(22.2%) oblique clefts. The most common type of cleft was Tessier 0 while the Tessier 6 was the least common type. The median age at surgery was 10 months for male and 5months for female subjects, 15.3% complication rate was found in this study. Four patients had revision surgeries to correct residual deformities in this study. The diverse presentations and occurrence of the rare craniofacial clefts present complex aesthetic and functional problems that require individualized often multidisciplinary care. The execution of a properly planned treatment will reduce complications and the need for revision surgeries.

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“…Determination of ideal individualized upper arch form can be a valuable clinical guideline, particularly in patients with congenital anomalies and dentofacial deformities with malformed arch forms, such as those who need maxillary surgical reconstruction and parts of the maxilla is missing, due to accidents or facial clefts, or patients with a very underdeveloped maxilla [10]. In orthognathic patients, arch coordination is perceived as the major goal of presurgical orthodontic phase, which can be evaluated mainly by impression and stage recording in several clinical appointments, and any guide to facilitate these adaptations can be considered a significant step toward better clinical services.…”

Section: Introductionmentioning

confidence: 99%

Mathematical beta function formulation for maxillary arch form prediction in normal occlusion population

et al. 2016

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The aim of this study was to assess the dental arch curvature in subjects with normal occlusion in an Iranian population and propose a beta function formula to predict maxillary arch form using the mandibular intermolar widths (IMW) and intermolar depths (IMD). The materials used were study casts of 54 adolescents with normal occlusion and mean age of 14.1 years (25 males, 29 females, age range 12-16 years). Curve-fitting analyses were carried out and the curves passing through the facial-axis point of the canines, premolars, first molars, and the incisal edges of the anterior teeth were studied using a 3D laser scanner. Using the measured IMW and IMD of the dental arches at the maxillary and mandibular first molar region, a beta function formula proposed for predicting maxillary arch form. The accuracy of the proposed formula was assessed on 10 randomly selected dental casts. The mean (SD) of the maxillary and mandibular IMW and IMD were 57.92 (4.75), 54.19 (5.31), and 31.59 (2.90) and 28.10 (2.59) mm, respectively. There was no gender dimorphism (P > 0.05) for both variables (IMW, IMD). There was a strong positive association (n = 10, Pearson r = 0.98, P < 0.05) between the measured (actual) maxillary arch length and proposed arch length derived from generated formula. The goodness of fit (whole arch) for the proposed beta function formula, using adjusted r square measure and root mean square in 10 patients averaged 0.97 and 1.49 mm, respectively. The corresponding figures for the maxillary anterior arch (canine to canine) were 0.90 and 0.92 mm, respectively. The proposed beta function formula used for predicting maxillary arch form based on two mandibular measures (IMW, IMD) was found to have a high accuracy for maxillary arch prediction in the Iranian population and may be used as a guide to fabricate customized arch wires or as an aid in maxillary reconstructive surgery.

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Combination of Tessier clefts 3 and 4: Case report of a rare anomaly with 12 years' follow-up

Cited by 12 publications

References 9 publications

Tessier Number 3 and 4 Clefts: Clinical Presentation and Associated Clefts in a South African Population

Tessier Number 3 and 4 Clefts: Clinical Presentation and Associated Clefts in a South African Population

Presentation and Management of Atypical Orofacial Clefts: A Single-Institution Experience for 13 Year Period

Mathematical beta function formulation for maxillary arch form prediction in normal occlusion population

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