Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
권호 표지
DOI QR코드

DOI QR Code

Tessier number 7 cleft with unilateral complete cleft lip and palate: a case report

  • Lee, Hyun Seung (Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine) ;
  • Seo, Hyung Joon (Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine) ;
  • Bae, Yong Chan (Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine)
  • Received : 2021.05.18
  • Accepted : 2021.08.06
  • Published : 2021.11.15
Download PDF
⟨ Previous Next ⟩

Abstract

To date, there have been no reports of patients showing a Tessier number 7 cleft with unilateral complete cleft lip and palate. Furthermore, no studies have established the sequence, plan, or timing of surgical methods for treating patients presenting the above anomalies simultaneously. We report a case of a Tessier number 7 cleft with unilateral complete cleft lip and palate. Two months after birth, lip adhesion was performed on the unilateral complete cleft lip and total excision was performed on the skin tag. At 4 months of age, Tessier number 7 cleft was corrected. At 6 months of age, surgery involving two small triangular flaps was performed on the unilateral incomplete cleft lip after performing lip adhesion. At 13 months of age, two-flap palatoplasty with a vomer flap was performed on the complete cleft palate. At 6 years of age, open rhinoplasty was performed on the unilateral cleft lip nose deformity. At 9 years of age, bone grafting was performed for the alveolar cleft. At follow-up appointments up to 13 years of age, there were no major complications. Here, we present this patient, surgical procedures and timelines, and show our results demonstrating good postoperative outcomes.

Keywords

References

  1. Eppley BL, van Aalst JA, Robey A, et al. The spectrum of orofacial clefting. Plast Reconstr Surg 2005;115:101e-114e. https://doi.org/10.1097/01.PRS.0000164494.45986.91
  2. Kawamoto HK Jr. The kaleidoscopic world of rare craniofacial clefts: order out of chaos (Tessier classification). Clin Plast Surg 1976;3:529-72.
  3. Tessier P. Anatomical classification facial, cranio-facial and latero-facial clefts. J Maxillofac Surg 1976;4:69-92. https://doi.org/10.1016/S0301-0503(76)80013-6
  4. Kawamoto HK Jr. Rare craniofacial clefts. In: McCarthy JG, editor. Plastic surgery. Philadelphia: Saunders; 1990. p. 2922-73.
  5. Carstens MH. Pathologic anatomy of the soft palate, part 1: embryology, the hard tissue platform, and evolution. J Cleft Lip Palate Craniofac Anomal 2017;4:37-64. https://doi.org/10.4103/jclpca.jclpca_9_17
  6. Kobraei EM, Lentz AK, Eberlin KR, et al. Macrostomia: a practical guide for plastic and reconstructive surgeons. J Craniofac Surg 2016;27:118-23. https://doi.org/10.1097/SCS.0000000000002294
  7. Franco D, Franco T, da Silva Freitas R, et al. Commissuroplasty for macrostomia. J Craniofac Surg 2007;18:691-4. https://doi.org/10.1097/scs.0b013e31805345f5
  8. Fadeyibi IO, Ugburo AO, Fasawe AA, et al. Macrostomia: a study of 15 patients seen in Lagos, Nigeria and proposal for a classification of severity. J Plast Surg Hand Surg 2010;44:289-95. https://doi.org/10.3109/2000656X.2010.517668
  9. 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;39:1133-6. https://doi.org/10.1016/j.ijom.2010.05.012
  10. Balaji SM. Modified canthopexy. J Maxillofac Oral Surg 2008;7:414-9.
  11. Millard DR Jr, Latham RA. Improved primary surgical and dental treatment of clefts. Plast Reconstr Surg 1990;86:856-71. https://doi.org/10.1097/00006534-199011000-00006
  12. Hamilton R, Graham WP 3rd, Randall P. The role of the lip adhesion procedure in cleft lip repair. Cleft Palate J 1971;8:1-9.
  13. Cho B. Unilateral complete cleft lip and palate repair using lip adhesion and passive alveolar molding appliance. J Craniofac Surg 2001;12:148-56. https://doi.org/10.1097/00001665-200103000-00012
  14. Koh SH, Jeong YW, Han JJ, et al. Orbicularis oris muscle reconstruction and cheiloplasty with Z-plasty in a patient with a transverse facial cleft. Maxillofac Plast Reconstr Surg 2019;41:55. https://doi.org/10.1186/s40902-019-0240-2
  15. Bordoloi U, Saikia R. Tessier cleft no. 7: report of 12 cases. J Evol Med Dent Sci 2014;3:6736-9. https://doi.org/10.14260/jemds/2014/2812
  16. Chapman KL, Hardin MA. Phonetic and phonologic skills of two-year-olds with cleft palate. Cleft Palate Craniofac J 1992;29:435-43. https://doi.org/10.1597/1545-1569_1992_029_0435_papsot_2.3.co_2
  17. Dorf DS, Curtin JW. Early cleft palate repair and speech outcome. Plast Reconstr Surg 1982;70:74-81. https://doi.org/10.1097/00006534-198207000-00015
  18. Shih CW, Sykes JM. Correction of the cleft-lip nasal deformity. Facial Plast Surg 2002;18:253-62. https://doi.org/10.1055/s-2002-36493
  19. Habre W, Disma N, Virag K, et al. Incidence of severe critical events in paediatric anaesthesia (APRICOT): a prospective multicentre observational study in 261 hospitals in Europe. Lancet Respir Med 2017;5:412-25. https://doi.org/10.1016/S2213-2600(17)30116-9
  20. Alonso N, Freitas RDS, de Oliveira E Cruz GA, et al. Tessier no. 4 facial cleft: evolution of surgical treatment in a large series of patients. Plast Reconstr Surg 2008;122:1505-13. https://doi.org/10.1097/PRS.0b013e318188209c