A case of isolated Tessier 7 cleft in the newborn of a diabetic mother

Luque, Juan Mario Troyano; Pérez, Ana Isabel Padilla; Martín, Aznar; Peraza, J. J. Sánchez; Rodríguez, Marta Álvarez

doi:10.3109/01443615.2011.556268

Cited by 4 publications

(3 citation statements)

References 8 publications

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“…The clinical findings of these patients are presented in Table 1. 7,9,[13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32] Among the 24 patients, 12 were male patients and eight were female patients; sex could not be identified in four patients. The most common clinical manifestation of Tessier no.…”

Section: Discussionmentioning

confidence: 99%

A rare case of accessory maxilla: a case report and literature review of Tessier no. 7 clefts

Sun

Xiao

et al. 2020

J Int Med Res

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Bilateral Tessier no. 7 clefts are rarely reported in the literature. Here, we describe the presence of accessory maxilla with supernumerary teeth in a patient who exhibited bilateral Tessier no. 7 clefts; the diagnosis was established based on the patient’s history, clinical presentation, and computed tomography images. A review of the available literature revealed 24 patients with Tessier no. 7 clefts from 2000 to 2020, including our patient. The most common clinical manifestation in patients with Tessier no. 7 clefts comprises bilateral facial clefts. Additionally, Tessier no. 7 clefts are more frequently found in boys or men, rather than in girls or women. The presence of an accessory maxilla with supernumerary teeth in a patient with bilateral Tessier no. 7 clefts is extremely rare. Early detection of craniofacial abnormalities is important, because it may influence patient prognosis and management.

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Section: Discussionmentioning

confidence: 99%

A rare case of accessory maxilla: a case report and literature review of Tessier no. 7 clefts

Sun

Xiao

et al. 2020

J Int Med Res

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“…Genetic investigations were performed in six cases, which did not reveal any chromosomal abnormalities. 5,6,10,[12][13][14] The noteworthy feature in our case was macrostomia with bilateral diastasis extending to the preauricular area. These structural abnormalities are considered to be associated with restricted movement of the temporomandibular joint (TMJ).…”

Section: Discussionmentioning

confidence: 57%

“…Very few cases with prenatal diagnosis have been reported in the literature pertaining to lateral facial clefts. [4][5][6][7][8][9][10][11][12][13][14] We report a case of isolated bilateral complete transverse facial cleft diagnosed prenatally at 22 weeks of gestation with the pertinent details of the two-dimensional (2D) and three-dimensional (3D) ultrasound examination and genetic workup. A review of the literature of the previously reported cases is provided for a better understanding of the lateral clefts.…”

Section: Introductionmentioning

confidence: 99%

Prenatal Diagnosis of a Case of Asyndromic Tessier Class-7 Bilateral Complete Transverse Facial Cleft: Case Report with Review of Literature

Vikraman,

Yandamuri,

Desai

2024

Journal of Fetal Medicine

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Transverse or lateral facial clefts are atypical and rare forms of facial clefts identified as Tessier type 7 in the classification system for orofacial clefts. They have an overall incidence of 1 in 60,000 to 300,000 live births. We report a case diagnosed at 22 weeks of gestation. The two-dimensional (2D) ultrasound examination revealed a single live fetus with a persistently open mouth, failure of visualization of lateral commissures, and mild retrognathia. The three-dimensional (3D) surface rendering of the fetal face demonstrated a bilateral horizontal facial cleft that extended from the lateral commissures to the ears. No additional anomalies were identified. Fetal karyotype and whole exome sequencing reports did not reveal any genomic imbalances. The case highlights the importance of 2D oblique and 3D imaging of the fetal face when subtle findings are detected in routine 2D views. A review of the literature is provided to enhance the understanding of the entity.

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Prenatal diagnosis of isolated lateral facial cleft by ultrasonography and three-dimensional printing: A case report

Song¹,

Ma²,

Ye³

et al. 2021

WJCC

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BACKGROUND Lateral facial clefts are atypical with a low incidence in the facial cleft spectrum. With the development of ultrasonography (US) prenatal screening, such facial malformations can be detected and diagnosed prenatally rather than at birth. Although three-dimensional US (3DUS) can render the fetus' face via 3D reconstruction, the 3D images are displayed on two-dimensional screens without field depth, which impedes the understanding of untrained individuals. In contrast, a 3D-printed model of the fetus' face helps both parents and doctors develop a more comprehensive understanding of the facial malformation by creating more interactive aspects. Herein, we present an isolated lateral facial cleft case that was diagnosed via US combined with a 3D-printed model. CASE SUMMARY A 31-year-old G2P1 patient presented for routine prenatal screening at the 22 nd wk of gestation. The coronal nostril-lip section of two-dimensional US (2DUS) demonstrated that the fetus' bilateral oral commissures were asymmetrical, and left oral commissure was abnormally wide. The left oblique-coronal section showed a cleft at the left oral commissure which extended to the left cheek. The results of 3DUS confirmed the cleft. Furthermore, we created a model of the fetal face using 3D printing technology, which clearly presented facial malformations. The fetus was diagnosed with a left lateral facial cleft, which was categorized as a No. 7 facial cleft according to the Tessier facial cleft classification. The parents terminated the pregnancy at the 24 th wk of gestation after parental counseling. CONCLUSION In the diagnostic course of the current case, in addition to the traditional application of 2D and 3DUS, we created a 3D-printed model of the fetus, which enhanced diagnostic evidence, benefited the education of junior doctors, improved parental counseling, and had the potential to guide surgical planning.

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A case of isolated Tessier 7 cleft in the newborn of a diabetic mother

Cited by 4 publications

References 8 publications

A rare case of accessory maxilla: a case report and literature review of Tessier no. 7 clefts

A rare case of accessory maxilla: a case report and literature review of Tessier no. 7 clefts

Prenatal Diagnosis of a Case of Asyndromic Tessier Class-7 Bilateral Complete Transverse Facial Cleft: Case Report with Review of Literature

Prenatal diagnosis of isolated lateral facial cleft by ultrasonography and three-dimensional printing: A case report

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