A surgical conundrum: Tessier number 4 cleft

Coruh A. , Gunay G. K.

CLEFT PALATE-CRANIOFACIAL JOURNAL, vol.42, no.1, pp.102-106, 2005 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 42 Issue: 1
  • Publication Date: 2005
  • Doi Number: 10.1597/03-122.1
  • Page Numbers: pp.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.