What is a Tessier 7 cleft?

What is a Tessier 7 cleft?

Tessier number 7 cleft is a transverse facial cleft manifesting as macrostomia with or without preauricular skin tags. Bony involvement is variable and may include a temporo-zygomatic cleft with an absent zygomatic arch and accompanying deformities of the mandibular ramus, condyle, and coronoid process (Tessier, 1976).

What is a lateral cleft?

Lateral clefts are rare in occurrence. The lateral cleft is cause by failure of fusion of the maxillary and mandibular dermatomes. It is also associated with preaurical tags. We present a case of a lateral cleft of the lip with multiple bilateral preauricular tags that was repaired using triangular flaps.

What is a medial cleft?

Median cleft lip is a midline vertical cleft through the upper lip. This is a rare anomaly with very few cases described in the literature. Median cleft lip has been thought to be associated with hypertelorism or hypotelorism. It is caused by the failure of fusion of the medial nasal prominences.

What causes median facial cleft syndrome?

Although various causative factors have been suggested, the exact cause of the occurrence of a median cleft lip is still unknown. As with other clefts, there is a clear association between common teratogenic substances such as alcohol and drugs used during fetal development [4].

What is Macrostomia cleft?

Macrostomia is a congenital deformity resulting from failure of fusion of maxillary and mandibular process. It is a rare congenital deformity with an incidence of 1 in 60,000 to 1 in 300,000 live births. Transverse facial clefts are more common on right side of face in unilateral cases.

What is Cyclodialysis cleft?

A cyclodialysis cleft is a separation of the ciliary body from the scleral spur, creating a direct connection between the anterior chamber and the suprachoroidal space.

How rare is a cleft nose?

Clefts are formed in utero when normal development of a baby’s head and neck are disrupted and parts of the face fail to fuse together, creating facial and/or cranial differences. Rare craniofacial clefts occur in about 1 in every 150,000 births.

What causes a Hairlip?

Cleft lip and cleft palate are thought to be caused by a combination of genes and other factors, such as things the mother comes in contact with in her environment, or what the mother eats or drinks, or certain medications she uses during pregnancy.

How do they fix a cleft palate?

The only way to repair a cleft palate is by surgery. The goal is to close the opening in the roof of the child’s mouth. Your child will be in the operating room for only a few hours. The hospital stay is usually 1 to 3 days.

What is the best treatment for bilateral soft tissue clefts?

We repaired simultaneously the bilateral soft tissue clefts by premaxillary repositioning, cleft lip repair, facial cleft repair by nasal lengthening, midfacial advancement, and an upper eyelid transposition flap with repositioning both the medial canthi. Postoperatively, the patient showed an esthetically acceptable face without unnatural scars.

Is maxillary hypoplasia a major issue in cleft lip and palate patients?

DOI: 10.1097/SCS.0000000000003506 Abstract Maxillary hypoplasia is a major issue in cleft lip and palate patients, and predictable surgical maxillary advancement is required.

What is the staged protocol for Tessier cleft repair?

Wu reported a staged protocol for a bilateral Tessier No. 3 cleft, which constituted bilateral lip repair first, followed by nasofacial repair with medial canthopexy [9]. Further, Chen introduced the surgical technique of midface rotation advancement in the repair of Tessier No. 3 and No. 4 clefts [10].

What is Tessier number 3 cleft?

The Tessier No. 3 cleft represents diverse clinical presentations, from a simple notch in the nasolabial groove and a coloboma of the lower eyelid to bilateral forms with cranial extensions [4, 5]. Rarely, the lesion directly involves the orbit, which leads to microphthalmia or anophthalmia.