Surgical strategy in a case of Bilateral Tessier cranio facial cleft 5 and 7 - A Case report

Abstract

Tessier cranio facial cleft is among the
rarest congenital anomalies reported in
literatures and there are many issues arguing
about its multi disciplinary repairing
techniques. Amongst the clefts, Number
5 and 7 are extremely rare. There are
only a very few literatures describing
these clefts and their surgical modalities.
Number 5 Tessier cleft begins medial to
oral commissure in the upper lip and extends
superiorly as a groove through the
check and ends at the middle third of
lower eyelid. Bony involvement consists
of alveolar ridge, maxillary bone lateral to
infra orbital foramen and orbits lower rim
and floor. Number 7 Tessier cleft begins
at the oral commissure and varies from a
mild broadening of the oral commissure
with a pre auricular skin tag to a complete
fissure extending toward a microtic
ear. Bony involvement consists of bony
cleft passes through pterygo maxillary
junction. This case report is about a
patient with Bilateral Tessier Number 5 and
7 Facial cleft and the surgical approach on
her.