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Facial cleft no. 30

Y Keçeci1, R Gencosmanoğlu, C Görken

  • 1Department of Plastic and Reconstructive Surgery, Ege University Medical School, Bornova, Izmir, Turkey.

The Journal of Craniofacial Surgery
|September 1, 1994
PubMed
Summary

Congenital fibrotic neck cords can indicate rare midline cleft deformities (Tessier facial cleft no. 30), even without the typical lower lip cleft. This diagnosis is crucial for proper patient management.

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Area of Science:

  • Craniofacial Surgery
  • Pediatric Surgery
  • Congenital Anomalies

Background:

  • Midline clefts of the lower lip, mandible, tongue, and neck are rare congenital deformities.
  • These anomalies are classified under Tessier facial cleft no. 30.
  • The lower lip cleft is often the most frequent pathognomonic sign.

Observation:

  • This report details a patient with a congenital fibrotic neck cord.
  • The patient did not present with the characteristic lower lip cleft.
  • Initial treatment was for a thyroglossal remnant.

Findings:

  • The absence of a lower lip cleft does not rule out Tessier facial cleft no. 30.
  • A congenital fibrotic cord at the cervical midline is a significant indicator.
  • This case highlights a less common presentation of the anomaly.

Implications:

  • Clinicians should consider facial cleft no. 30 in patients with midline cervical fibrotic cords, even without a lower lip cleft.
  • Early and accurate diagnosis is essential for appropriate surgical planning and management.
  • This finding expands the understanding of the clinical spectrum of Tessier facial cleft no. 30.

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