Imcomplete closure of facial cleft

Congenital transverse and oblique facial clefts are rare congenital anomalies, and cooccurence of these is still more a rare anomaly. The condition most commonly is often associated with anomalies of the first and second branchial arches. The manuscript intends to present one such rare case of Tessier's cleft type 3—7 and present its early management as well as long-term treatment plan. Facial clefts are the common craniofacial malformations, often involving the palate and lips. Although the reported incidence is not estimated, it is believed to be in the range of 0. It was Tessier who postulated the anatomy-based classification system for craniofacial clefts.
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Single stage correction of bilateral tessier 4 cleft Balaji S M - Indian J Dent Res

Tessier facial clefts are among the rarest facial clefts reported in literature and many contradicting issues have always been rising over the management and surgical approaches involved during the craniofacial cleft repair. Among the craniofacial clefts Tessier no. Often these type of craniofacial clefts yield very poor surgical results, and they require multidisciplinary sequential corrective surgeries. This article presents a rare case of an month-old baby with bilateral Tessier no. Correspondence Address : Dr. The spectrum of orofacial clefting.
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Two-stage Corrections of Rare Facial Tessier's Cleft - 3,4,5,6,7

The embryology of this congenital deformity remains a matter of controversy. Details of surgical management are emphasized in the two reports of cases. Oblique Facial Cleft. Arch Otolaryngol.
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Median or midline facial clefts are rare anomalies of developmental origin, etiology of whose occurrence is still unknown precisely. The most basic presentation of midline facial clefts is in the form of a Median cleft lip which is defined as any congenital vertical cleft through the centre of the upper lip. First described by Bechard in , it is the most common amongst all atypical clefts reported. The incidence is about ,00, births. This may occur as a sporadic event or as a part of an inherited sequence of anomalies.
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