Tessier number 30

Tessier Number 30 Median Mandibular Cleft With Congenital Heart Anomalies in Qena, Egypt

“…The first report of midline mandibular cleft was reported by Couronné (1819) (Armstrong and Waterhouse, 1996; Oostrom et al, 1996). Since then, 66 cases have been reported worldwide till 2007 (Senan et al, 2007).…”

“…There may be other associated facial anomalies such as cleft of upper lip, cleft palate, Pierre-Robin anomaly, mucus pits of lower lip, hemifacial microsomia, and dermoid cyst of nose or chin, eye, and ear deformities (Richieri-Costa and Pereira, 1993). Congenital anomalies of heart (single ventricle, TGAs), hand (syndactyly, brachydactyly), and foot (clubfoot, ectrodactyly; Senan et al, 2007 and Sesenna et al, 2012) have also been reported. Although no genetic abnormality has been described.…”

“…Excision of the dermoid cyst and cartilaginous skin tags. Repair of macrostomia (Z-plasty) at a later stage, observation of mandibular anomaly 14 Senan et al, (2007) Release of ankyloglossia at 6 months and lip and chin repair at 6 years, then bone graft for mandibular cleft at 9 years 15 Roshani et al, (2004) Excision of mass on dorsum of tongue, release of ankyloglossia and lip from the alveolus followed by lip repair was done. No bony work was done since the mandible was only notched 16 Ishii et al, (2002) At 5 months of age, lower lip repair (Z-plasty), release of tongue, repair of floor of mouth, and vestibuloplasty.…”

Tessier 30 facial cleft with duplication of tongue

“…One of these had duplication cyst of the foregut. [8] Rana et al . [9] reported a case of the median cleft of the mandible and lower lip with ankyloglossia and ectopic minor salivary gland on the tongue.…”

Tessier Number 30 Clefts With Congenital Heart Defects

“…Some reported anomalies associated with Tessier syndrome include congenital heart defects ( 1 ), limb deformities ( 4 ), absence of the hyoid bone and neck contracture ( 6 ), sternal cleft, foregut duplication cysts ( 7 ), and anomalies in soft tissue structures in the neck such as the hyoid bone, thyroid cartilage, and strap muscles of the anterior neck derived from the lower brachial arch ( 8 ).…”