Tessier No. 4 Facial Cleft: Evolution of Surgical Treatment in a Large Series of Patients

Alonso, Nivaldo; Freitas, Renato da Silva; Cruz, Gilvani Azor de Oliveira e; Goldenberg, Dov Charles; Tolazzi, André Ricardo Dall’Oglio

doi:10.1097/prs.0b013e318188209c

Cited by 42 publications

(62 citation statements)

References 17 publications

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“…Résultats: Les fentes craniofaciales constituent une malformation rare. La distribution par sexe n'a pas montré de différence significative entre les hommes et les femmes (1: 1,2), l'âge à l'admission variait de 1 jour à 83 ans; selon la latéralité de la fente, les fentes craniofaciales unilatérales (côté gauche ou droit) sont plus fréquentes que les fentes médianes (Tessier 0;14; 0,14; 30); cependant, selon le type clinique de la classification de Tessier, la fente craniofaciale 0 de Tessier est la plus rencontrée dans notre série et est associée à l'holoprosencéphalie. 50% des fentes craniofaciales de notre série sont syndromiques.…”

Section: Introductionunclassified

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Demographic and clinical profile of craniofacial clefts at Comprehensive Rehabilitation Service in Uganda

JMV¹,

Hodges²,

Galiwango³

2018

ajhissues

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Background: The true incidence of Craniofacial cleft (CFC) is unknown because of their scarcity and because of the difficulty in recognizing sometimes subtle physical findings in mild malformations. Craniofacial anomalies in the African population are reported infrequently. Aim: To contribute to the general literature on rare CFC in Uganda and Africa. Methods: we conducted a retrospective search of patient data over the period 2005 to May 2017 in the unit of plastic surgery of CoRSU (Comprehensive Rehabilitation Service in Uganda) hospital, a tertiary hospital in Uganda. Patient with a diagnosis of CFC were picked out. Sixty-six patient's files with clinical diagnosis of CFC including their clinical photographs were found. Frequency data was generated and a frequency distribution table with the observed data was constructed. Results: Sex distribution showed no significant difference between male and female (1:1,2);the age on admission ranged from 1 day to 83 years; according to the laterality of the cleft, unilateral CFC (left or right side) are more common than midline clefts (Tessier 0; 14; 0,14;30); however, according to the clinical type, Tessier cleft (TC) 0 is the most common TC in our series and is associated with holoprosencephaly. Fifty percent of CFC in our series are syndromic. TC 7 are common in male and have a bilateral predilection. Conclusion: CFC are a rare set of malformations for which there is a paucity of literature. There is a need to conduct a study with a larger series including CT-Scan in order to analyze more accurate clinical diagnosis. Keywords: Craniofacial, Cleft, Tessier, Uganda Résumé Contexte: L'incidence réelle de la fente craniofaciale est inconnue en raison de sa rareté et de la difficulté à reconnaître des signes physiques parfois subtils lors de malformations légères. Les anomalies craniofaciales dans la population africaine sont rarement rapportées. But: Contribuer à la littérature générale sur les fentes craniofaciales rares en Ouganda et en Afrique. Méthodes: nous avons effectué une recherche rétrospective des données des patients sur la période 2005 à Mai 2017 dans l'unité de chirurgie plastique de l'hôpital CoRSU (Comprehensive Rehabilitation Service in Uganda), un hôpital tertiaire en Ouganda. Les patients avec un diagnostic de fente craniofaciale ont été sélectionnés. Soixante-six dossiers de patients avec un diagnostic clinique de fente craniofaciale, y compris leurs photographies cliniques ont été trouvés. Des données de fréquence ont été générées et des tableaux de distribution de fréquence avec les données observées ont été construits. Résultats: Les fentes craniofaciales constituent une malformation rare. La distribution par sexe n'a pas montré de différence significative entre les hommes et les femmes (1: 1,2), l'âge à l'admission variait de 1 jour à 83 ans; selon la latéralité de la fente, les fentes craniofaciales unilatérales (côté gauche ou droit) sont plus fréquentes que les fentes médianes (Tessier 0;14; 0,14; 30); cependant, selon le type clinique ...

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Section: Introductionunclassified

“…4). TC 4 is a rare, complex, and challenging craniofacial malformation [14]. In our series we have registered 7 cases of TC 4 in 11 years and five months ( by the embryopathoge-nic data [16].…”

Section: Total 66mentioning

confidence: 99%

Demographic and clinical profile of craniofacial clefts at Comprehensive Rehabilitation Service in Uganda

JMV¹,

Hodges²,

Galiwango³

2018

ajhissues

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“…In our bilateral case we tried to refer to the standard cantus location in terms of width, depth and height and to stabilize this position with a transnasal steel canthopexy (which we had to repeat). One technique uses a flap from the upper lid or from the lateral nasal wall (Alonso et al, 2008;Mishira and Purwar, 2009), a forhead ( Van der Meulen, 1985), another a Z-plasty obtained from the lateral nasal wall (Tessier et al, 1977), as in our patient. This elevates the upper lid and fills the defect below the lower lid.…”

Section: Discussionmentioning

confidence: 92%

Tessier 3 cleft with bilateral anophthalmia: Case report and surgical treatment

Sesenna

Anghinoni

Modugno³

et al. 2012

Journal of Cranio-Maxillofacial Surgery

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“…A number of different geometric tracings have been described including flap interdigitation techniques to close soft tissues (Tessier, 1977). However, these techniques use tissues from different facial areas, providing skin colour and texture variations (Alonso et al, 2008). The visible scar is localized in the middle of the cheek and exerts traction on the lower eyelid.…”

Section: Discussionmentioning

confidence: 99%

Tessier number 4 bilateral orbito-facial cleft: A 26-year follow-up

Laure

Picard

Bonin-Goga

et al. 2010

Journal of Cranio-Maxillofacial Surgery

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Tessier No. 4 Facial Cleft: Evolution of Surgical Treatment in a Large Series of Patients

Abstract: : The great majority of Tessier no. 4 facial clefts can be appropriately treated using local flaps. Classic techniques are extremely useful, but long-term results could be improved if the technical modifications described were adopted.

Cited by 42 publications

References 17 publications

Demographic and clinical profile of craniofacial clefts at Comprehensive Rehabilitation Service in Uganda

Demographic and clinical profile of craniofacial clefts at Comprehensive Rehabilitation Service in Uganda

Tessier 3 cleft with bilateral anophthalmia: Case report and surgical treatment

Tessier number 4 bilateral orbito-facial cleft: A 26-year follow-up

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