Maxillofac Plast Reconstr Surg.  2018 ;40(1):9. 10.1186/s40902-018-0147-3.

Anatomical repair of a bilateral Tessier No. 3 cleft by midfacial advancement

• Oh JH
• Park YW

• KMID: 2431932
• DOI: http://doi.org/10.1186/s40902-018-0147-3

Abstract

BACKGROUND
Bilateral Tessier number 3 clefts are extremely rare, and their surgical treatments have not been well established.
CASE PRESENTATION
The authors describe the case of a patient with a right Tessier number 3, 11 facial cleft with microphthalmia, a left Tessier number 3 facial cleft with anophthalmia, and cleft palate. We repaired simultaneously the bilateral soft tissue clefts by premaxillary repositioning, cleft lip repair, facial cleft repair by nasal lengthening, midfacial advancement, and an upper eyelid transposition flap with repositioning both the medial canthi. Postoperatively, the patient showed an esthetically acceptable face without unnatural scars.
CONCLUSIONS
We achieved good results functionally and esthetically by midfacial advancement with facial muscle reposition instead of traditional interdigitating Z-plasties. The surgical modality of our anatomical repair and 3 months follow-up results are presented.

Keyword

Bilateral Tessier 3; Anatomic repair; Midfacial advancement; Facial muscle reposition; Anophthalmos

MeSH Terms

Anophthalmos
Cicatrix
Cleft Lip
Cleft Palate
Eyelids
Facial Muscles
Follow-Up Studies
Humans
Microphthalmos