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Rare craniofacial anomaly: Tessier no. 2 cleft.

C Ozek1, H Gundogan, U Bilkay

  • 1Plastic and Reconstructive Surgery Department, Ege University, Izmir, Turkey. hakang@med.ege.edu.tr

The Journal of Craniofacial Surgery
|August 3, 2001
PubMed
Summary

This study presents rare Tessier facial cleft cases, highlighting varied clinical presentations and surgical approaches. Three-dimensional computed tomography scans are crucial for defining bony anatomy in these complex craniofacial anomalies.

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Area of Science:

  • Craniofacial Surgery
  • Medical Imaging
  • Rare Diseases

Background:

  • Facial clefts are congenital conditions affecting facial structure.
  • Tessier clefts represent a specific classification of facial and craniofacial clefts.
  • Tessier no. 2 and no. 12 clefts are rare, often presenting with complex anatomical variations.

Purpose of the Study:

  • To present four cases of Tessier no. 2 and no. 12 facial clefts.
  • To describe the diverse clinical manifestations and surgical management of these rare clefts.
  • To emphasize the utility of 3D CT imaging in delineating the bony course of craniofacial clefts.

Main Methods:

  • Case series presentation of four patients with facial clefts.
  • Review of relevant medical literature on Tessier clefts.

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  • Utilization of three-dimensional computed tomography (3D CT) scan imaging.

    • Main Results:

    • Four cases of Tessier no. 2 clefts were identified, with two extending to the cranium as no. 12 clefts.
    • Significant variability in clinical presentation and surgical interventions was observed across all cases.
    • 3D CT imaging effectively demonstrated the soft-tissue and bony pathways of the clefts.

    Conclusions:

    • The diagnosis and treatment of Tessier no. 2 and associated cranial clefts require individualized surgical planning.
    • 3D CT imaging is essential for precise anatomical assessment and surgical guidance in complex craniofacial clefts.
    • Understanding the spectrum of these rare clefts aids in optimizing patient outcomes.