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Submitted: 25 February 2019 Modified: 20 August 2019
HERDIN Record #: 108908-19022517274194

Cleft beyond the lip and palate: A bilateral tessier celft.

Laurice Ann  B. Canta

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            Oblique facial clefts (Tessier Clefts) are severe orofacial clefts beyond the lip and palate that count among the rare congenital malformations "with an incidence of 1.43 to 4.85 per 100,000 births."1,2 The Tessier Classification System devised by Paul Tessier in 1976 assigned specific caudo-cranial numbers to clefts involving the "soft tissue and underlying bones of the mouth, maxilla, nose, eyes, and forehead" in relation to the sagittal midline of the face.1,3,4 The midline is designated 0 - 14, and adjacent clefts are numbered 1-13, 2-12 and so on, depending on the location and axis of the malformation. We present a patient with a bilateral Tessier 5 cleft.

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Publication Sub Type
Project Title
Cleft Beyond the Lip and Palate: A Bilateral Tessier Celft
Philippine Journal of Otolaryngology Head and Neck Surgery
Publication Date
July-December 2018
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1. Rances, K A, Cruz, E T, Tinaza, J . "A Case Series of Tessier 3, 4, 7 and Combined4, 7 Craniofacial Clefts" Philipp J OtolaryngolHead Neck Surg 30(1): 34-38, 2015
2. Cannistra`, C , Bontemps, C , Valero, R , Ianneti, G , Barbet, J P. "Orbitofacialcleft number 5: radiographic, anatomical, and histologic study of a 24- week-old fetus." Plast Reconstr Surg 118(7): 1538-42, December 2006
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4. Tessier, P . "Anatomical Classification of Facial, Cranio-Facial and Latero-Facial Cleft" J Maxillofac. Surg 4(2): 69-92, June 1976
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7. Demke, J C, Tatum III, S A. Craniofacial Surgery for Congenital and Acquired Deformities. In Flint PW, Haughey BH, Lund VJ, Niparko JK, Thomas Robbin K, Regan Thomas J, et al. (editors).Cummings Otolaryngology Head and Neck Surgery. Philadelphia: London, Saunders, 2015. 2891-2914.
8. Afifi, A M, Djohan, R , Sweeney, W , Brooks, S , Connolly, J , Gordon, C R. "Long-Term Follow-up of a Tessier Number 5 Facial Cleft." Craniomaxillofac Trauma Reconstr 4(1): 35-42, March 2011
9. Galante, G , Dado, D . "The Tessier Number 5 Cleft: A Report of Two Cases and a Review of Literature." Plastic and Reconstructive Surgery 88(1): 131-135, July 1991