A surgical conundrum: Tessier number 4 cleft

Coruh A. , Gunay G. K.

CLEFT PALATE-CRANIOFACIAL JOURNAL, cilt.42, ss.102-106, 2005 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 42 Konu: 1
  • Basım Tarihi: 2005
  • Doi Numarası: 10.1597/03-122.1
  • Sayfa Sayıları: ss.102-106


Objective: Among the rarest of the craniofacial clefts is the Tessier no. 4 cleft; and hence little has been published about its management and treatment. Complete forms of the cleft yield poor surgical results because of the shortened oculoalar and oculo-oral distance and inadequate soft and bony tissue. Multiple sequential corrective operations are required. A primary early concern is the protection of the eye, particularly in severe forms in which corneal exposure occurs.. This article presents two cases of Tessier no. 4 clefts, one unilateral and the other bilateral, and discusses the problems encountered during their surgical and postoperative managements.