CC BY-NC-ND 4.0 · Indian J Plast Surg 2019; 52(02): 250-251
DOI: 10.1055/s-0039-1696791
Letters to the Editor
Association of Plastic Surgeons of India

A Rare Case of a Combination of Tessier Cleft 0 and 3 in a 4-Year-Old Child—A Case Report

Bibhuti Bhusan Nayak
1   Department of Plastic Surgery, SCB Medical College, Cuttack, Odisha, India
,
M. Lopamudra
1   Department of Plastic Surgery, SCB Medical College, Cuttack, Odisha, India
› Author Affiliations
Further Information

Publication History

Publication Date:
24 September 2019 (online)

Abstract

Description and successful management of a patient with Tessier no. 0 and 3 facial cleft is being presented. Appropriate evaluation was done to rule out the presence of median cleft face syndrome. Lip cleft was repaired by straight line technique with staggering at the vermilion border. Nasal cleft was reconstructed by a transposition flap and the flap taken from the upper lip after correction of the midline cleft. Satisfactory outcome was achieved for this singular deformity by conforming to the basic tenets of plastic surgery.

 
  • References

  • 1 Tessier P. Anatomical classification facial, cranio-facial and latero-facial clefts. J Maxillofac Surg 1976; 4 (02) 69-92
  • 2 Gawrych E, Janiszewska-Olszowska J, Chojnacka H. Tessier type 3 oblique facial cleft with a contralateral complete cleft lip and palate. Int J Oral Maxillofac Surg 2010; 39 (11) 1133-1136
  • 3 Reddy SG, Reddy RR, Obwegeser J, Mommaerts MY. Options for the nasal repair of non-syndromic unilateral Tessier no. 2 and 3 facial clefts. Indian J Plast Surg 2014; 47 (03) 340-345
  • 4 Giglio A, Ruschel FF, Barcellos C, Pavelecini M, Chem RC. Rotation and advancement flap of the cheek in the treatment of rare craniofacial clefts. J Craniofac Surg 2008; 19 (05) 1411-1415
  • 5 Cizmeci O, Kuvat SV. Tessier no. 3 incomplete cleft reconstruction with alar transposition and irregular z-plasty. Plast Surg Int 2011; 2011: 596569
  • 6 Mishra RK, Purwar R. Formatting the surgical management of Tessier cleft types 3 and 4. Indian J Plast Surg 2009; 42 (01) (Suppl) S174-S183