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Published on: November 4, 2025
Tessier number 4 bilateral craniofacial cleft associated with amniotic band syndrome: 22 years of follow-up
C Assouan1, B Ambroise1, M de Boutray2
1Department of maxillofacial and plastic surgery, Caen university hospital, 14000 Caen, France.
Tessier clefts are a very rare entity. Number 4 Tessier cleft is describe like an orbito-facial cleft with trajectory between the lower eyelid and the lip. We report management of a bilateral number 4 Tessier cleft with amniotic band syndrome with 22 years of follow-up. After reviewing literature, we talk about difficulty to manage these kinds of rare Tessier clefts.
Tessier clefts are a very rare entity. Number 4 Tessier cleft is describe like an orbito-facial cleft with trajectory between the lower eyelid and the lip. We report management of a bilateral number 4 Tessier cleft with amniotic band syndrome with 22 years of follow-up. After reviewing literature, we talk about difficulty to manage these kinds of rare Tessier clefts.

