A Rare Case of a Combination of Tessier Cleft 0 and 3 in a 4-Year-Old Child—A Case Report

Nayak, Bibhuti Bhusan; Lopamudra, M.

doi:10.1055/s-0039-1696791

Cited by 4 publications

(1 citation statement)

References 6 publications

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“…The median and paramedian Tessier 0, 3, and 4 have been reported in the past; so are reports of Tessier 6, 7, and 8, and the combination of Tessier 9, 10, and 11. [ 16 ] The ocular features in such scenarios are a mixture of ophthalmic findings of both.…”

Section: Discussionmentioning

confidence: 99%

Tessier cranio-facial clefts presenting to a tertiary eye care center in Northern India: Ophthalmic features and a review of management

Das¹,

Modaboyina²,

Agrawal³

et al. 2022

Indian Journal of Ophthalmology

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Purpose: Tessier classification is used to classify congenital facial cleft disorders utilizing the anatomical location of the cleft and its extension. The orbital and ocular morbidities associated with the birth disorder are numerous. The authors decided to perform a retrospective analysis of the clinical features of the patients who presented to a tertiary care hospital with orbito-cranial clefts. Methods: The authors retrospectively evaluated the records of patients with craniofacial clefts who had presented to a tertiary eye care hospital in northern India in the last 2 years (January 2019–December 2020). The clinical features were studied, entered in MS Excel, and the data were evaluated. Results: The data of 40 patients with Tessier cleft were found. The majority of the patients were male and presented in the pediatric age group. Unilateral involvement was more common, with maxillary hypoplasia being the most common facial anomaly associated. Eyelid coloboma and euryblepharon was the most common periocular finding; lateral epibulbar dermoid and corneal opacity were the most common ocular surface anomaly. The majority of patients had presented for cosmetic correction. The syndromic association was with Goldenhar syndrome ( n = 13), Fraser ( n = 2), and one each of Treacher Collins, blepharocheilodontic, organoid nevus, and oculo-dento-digital syndrome. Combined clefts were also seen. Conclusion: Tessier cleft classification is a useful tool to classify cranio-facial left anomalies. Multitudes of ocular and orbital anomalies can be associated with their different forms. Better knowledge and understanding of the classification will aid immensely in predicting the ocular defects and planning their management.

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Section: Discussionmentioning

confidence: 99%

Tessier cranio-facial clefts presenting to a tertiary eye care center in Northern India: Ophthalmic features and a review of management

Das¹,

Modaboyina²,

Agrawal³

et al. 2022

Indian Journal of Ophthalmology

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Cleft 1/13

Pellerin,

Alonso,

da Silva Freitas

et al. 2023

Facial Reconstruction of Unusual Facial Clefts

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Tessier cleft type 5 craniofacial anomaly – A rare oblique facial cleft

John

Shrivastav

Bhola³

2021

Journal of Cleft Lip Palate and Craniofacial Anomalies

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One of the rarest types of craniofacial malformations is Tessier cleft type 5. These are oblique facial clefts with bony defect representing an alveolar cleft in the premolar region. This extends to the lateral surface of the maxilla up to the infraorbital rim and orbital floor. The cleft begins in the upper lip, just medial to the commissure, and extends up to the eyelid. They may also show deficient maxillary growth on the side of the cleft, clinically represented as constriction in the maxilla and occlusal cant. It becomes very challenging to treat such cases and requires a team approach. The goals of such cases include surgical repair of the lower eyelid and outer canthus, expansion of the arch and alignment, Bone grafting for the alveolar cleft, zygomatic region, and orbital rim to restore the continuity. The following is a case report of Tessier type 5 facial cleft describing the clinical features, diagnosis, and treatment approach for the case.

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A Rare Case of a Combination of Tessier Cleft 0 and 3 in a 4-Year-Old Child—A Case Report

Cited by 4 publications

References 6 publications

Tessier cranio-facial clefts presenting to a tertiary eye care center in Northern India: Ophthalmic features and a review of management

Tessier cranio-facial clefts presenting to a tertiary eye care center in Northern India: Ophthalmic features and a review of management

Cleft 1/13

Tessier cleft type 5 craniofacial anomaly – A rare oblique facial cleft

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