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

Wu, Dandan; Wang, Guomin; Yang, Yusheng; Chen, Yang; Wan, Teng

doi:10.1016/j.jcms.2012.11.040

Cited by 10 publications

(13 citation statements)

References 21 publications

(13 reference statements)

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“…(6) In mild form there may be coloboma of the nasal ala only. (4) However, encephalocele, (7,8) complete absence of frontal process of maxilla, orbital floor and confluence of the orbit, maxillary sinus and oral cavity can be seen in severe forms. (4) The present case had bilateral clefts.…”

Section: Discussionmentioning

confidence: 99%

“…(4) However, encephalocele, (7,8) complete absence of frontal process of maxilla, orbital floor and confluence of the orbit, maxillary sinus and oral cavity can be seen in severe forms. (4) The present case had bilateral clefts. The upper lip cleft was bilateral with bilateral alveolar clefts and mildly protruded pre-maxilla.…”

Section: Discussionmentioning

confidence: 99%

“…Like any facial cleft surgery, correction of soft tissue defects (3,4) is the primary goal of treatment. Cleft 3 represents one of the most challenging malformations for reconstruction.…”

Section: Discussionmentioning

confidence: 99%

“…The vertical distance between the ala and the medial canthus can be corrected by a wellplanned z-plasty. (3,4,5) Wide undermining of soft tissue over maxilla and zygomatic arch should be done to achieve tension free closure. Bony defects are corrected by bone grafting.…”

Section: Discussionmentioning

confidence: 99%

“…The repair (3,4) was planned in multiple stages and the left side was operated first. An incision was made along the junction of the lower eyelid and the cheek with a small back cut to raise the lower eyelid with the punctum to the medial canthal region.…”

Section: Case Historymentioning

confidence: 99%

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Bilateral Tessier Cleft 3: A Case Report

Bordoloi¹

2014

jemds

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Like any facial cleft surgery, correction of soft tissue defects (3,4) is the primary goal of treatment. Cleft 3 represents one of the most challenging malformations for reconstruction.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Case Historymentioning

confidence: 99%

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Bilateral Tessier Cleft 3: A Case Report

Bordoloi¹

2014

jemds

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Prenatal 3D-Ultrasound Diagnosis of “Tessier 3” Lateral Facial Cleft

Krishnan

Thomas

Sharma

et al. 2021

Journal of Fetal Medicine

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Atypical facial clefts are rare and result from partial or total non-fusion of embryonal craniofacial tissue. Tessier classified facial clefts and numbered them from 0 to 14, using the orbit as the primary structure of reference. The Tessier three cleft which extends through the upper lip, alar groove, and medial canthus is one of the most destructive of all facial clefts albeit one of the rarest. We report a case of isolated Tessier 3 facial cleft diagnosed on prenatal three-dimensional (3D) ultrasound examination. Two-dimensional sonography revealed a normally growing fetus with an absence of left alae nasi and normal appearing lips, palate, and alveolar ridges. However, a 3D imaging in surface rendering mode showed a large Tessier 3 lateral facial cleft, thus confirming the utility of 3D sonography in the prenatal diagnosis of such rare lateral facial clefts.

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