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Tessier 30 facial cleft.

Nirmal C Bhattacharyya¹, Kabita Kalita, Manoj Gogoi

¹Department of Pediatric Surgery, Gauhati Medical College, Guwahati, Assam, India.

Journal of Indian Association of Pediatric Surgeons

|April 25, 2012

Summary

This summary is machine-generated.

This case report details a rare midline cleft of the lower lip and mandible, uniquely presenting with complete tongue duplication. This finding is significant as it expands the known spectrum of Tessier 30 cleft anomalies.

Keywords:

Lower midline facial cleft Tessier 30 cleft median mandibular cleft

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Area of Science:

Craniofacial Surgery
Pediatric Surgery
Congenital Anomalies

Background:

Midline clefts of the lip and mandible are rare congenital conditions.
Tessier cleft 30 involves the lower lip and mandible, often associated with other facial anomalies.
Tongue malformations, such as bifid tongue or ankyloglossia, are documented but less common in conjunction with these clefts.

Observation:

A unique case of a neonate presenting with a midline cleft of the lower lip and mandible.
The neonate also exhibited a complete duplication of the tongue, a previously unreported anomaly within this specific cleft classification.
This presentation differs from previously documented cases of median cleft lip/mandible with bifid tongue.

Findings:

Complete duplication of the tongue is a novel finding in the context of a Tessier 30 cleft.
The combination of midline lower lip cleft, mandibular cleft, and complete tongue duplication represents a significant extension of the Tessier 30 cleft spectrum.
This case highlights the variability and complexity of craniofacial development.

Implications:

This case expands the understanding of rare craniofacial clefting syndromes.
It suggests a need for broader diagnostic considerations in neonates with complex facial anomalies.
Further research into the embryological basis of such complete duplications is warranted.