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Tessier type 3 facial clefts: A case report and literature review
Hamza Bensaghir1, Chaimae Ben Driss1, Nawfal Fejjal1
1Plastic Surgery Unit, Children's Hospital, Ibn Sina University Hospitals, Mohamed V University, Rabat, Morocco.
Introduction And Importance:
Tessier type 3 facial clefts are rare congenital anomalies that affect the lip, nose, and medial orbit. These clefts present significant functional and aesthetic challenges requiring a multidisciplinary approach.
Case Presentation:
We report two cases of female infants with Tessier type 3 facial clefts. The first case involved bilateral cleft with oculo-palpebral anomalies, while the second case presented unilateral cleft associated with hydrocephalus and limb defects. Both cases underwent surgical correction using a modified Manchester technique, with individualized reconstructive strategies.
Clinical Discussion:
These cases highlight the variable presentation of Tessier type 3 clefts and the challenges in surgical planning. A detailed description of preoperative care, imaging, and operative steps is provided. Improved facial symmetry and function were achieved.
Conclusion:
Early diagnosis, comprehensive neonatal care, individualized treatment planning, and long-term follow-up are critical in managing Tessier type 3 clefts. These cases contribute to the limited literature on this rare condition and highlight evolving surgical approaches.
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