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The Tessier number 5 facial cleft: surgical strategies and outcomes in six patients.
Cleft Palate Craniofac J. 2009 Mar; 46(2):179-86.CP

Abstract

The Tessier no. 5 facial cleft is an extremely rare congenital malformation. Only 26 cases have been described in the English-language literature. The cleft begins in the upper lip just medial to the oral commissure, extending across the cheek as a groove ending at the junction of the middle and lateral thirds of the lower eyelid. The bone involvement usually includes an alveolar cleft in the premolar region, extends across the maxilla lateral to the infraorbital nerve, up to the infraorbital rim and orbital floor. The goals of the surgical procedure include reconstructing the lower eyelid, repositioning the lateral canthus, closure of the labiomaxillary cleft, and restoration of the skeletal continuity (including the orbital floor defect) with bone grafts. We present six patients with the Tessier no. 5 facial cleft who have been treated in our combined centers and discuss the surgical options and difficulties faced in the reconstruction of this rare and challenging craniofacial malformation. To date, we have treated six patients (two with bilateral and four with unilateral clefts). Three of the patients with unilateral clefting had an associated no. 4 cleft and one patient with a bilateral cleft had an associated no. 3 cleft. This paper represents the largest series to date documenting surgery for patients with the Tessier no. 5 facial cleft.

Authors+Show Affiliations

Federal University of Parana, Grandar, Brazil.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

19254060

Citation

da Silva Freitas, Renato, et al. "The Tessier Number 5 Facial Cleft: Surgical Strategies and Outcomes in Six Patients." The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, vol. 46, no. 2, 2009, pp. 179-86.
da Silva Freitas R, Alonso N, Shin JH, et al. The Tessier number 5 facial cleft: surgical strategies and outcomes in six patients. Cleft Palate Craniofac J. 2009;46(2):179-86.
da Silva Freitas, R., Alonso, N., Shin, J. H., Busato, L., Dall'Oglio Tolazzi, A. R., & de Oliveria e Cruz, G. A. (2009). The Tessier number 5 facial cleft: surgical strategies and outcomes in six patients. The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association, 46(2), 179-86. https://doi.org/10.1597/07-192.1
da Silva Freitas R, et al. The Tessier Number 5 Facial Cleft: Surgical Strategies and Outcomes in Six Patients. Cleft Palate Craniofac J. 2009;46(2):179-86. PubMed PMID: 19254060.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The Tessier number 5 facial cleft: surgical strategies and outcomes in six patients. AU - da Silva Freitas,Renato, AU - Alonso,Nivaldo, AU - Shin,Joseph H, AU - Busato,Luciano, AU - Dall'Oglio Tolazzi,André Ricardo, AU - de Oliveria e Cruz,Gilvani Azor, Y1 - 2008/07/15/ PY - 2009/3/4/entrez PY - 2009/3/4/pubmed PY - 2009/6/26/medline SP - 179 EP - 86 JF - The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association JO - Cleft Palate Craniofac J VL - 46 IS - 2 N2 - The Tessier no. 5 facial cleft is an extremely rare congenital malformation. Only 26 cases have been described in the English-language literature. The cleft begins in the upper lip just medial to the oral commissure, extending across the cheek as a groove ending at the junction of the middle and lateral thirds of the lower eyelid. The bone involvement usually includes an alveolar cleft in the premolar region, extends across the maxilla lateral to the infraorbital nerve, up to the infraorbital rim and orbital floor. The goals of the surgical procedure include reconstructing the lower eyelid, repositioning the lateral canthus, closure of the labiomaxillary cleft, and restoration of the skeletal continuity (including the orbital floor defect) with bone grafts. We present six patients with the Tessier no. 5 facial cleft who have been treated in our combined centers and discuss the surgical options and difficulties faced in the reconstruction of this rare and challenging craniofacial malformation. To date, we have treated six patients (two with bilateral and four with unilateral clefts). Three of the patients with unilateral clefting had an associated no. 4 cleft and one patient with a bilateral cleft had an associated no. 3 cleft. This paper represents the largest series to date documenting surgery for patients with the Tessier no. 5 facial cleft. SN - 1055-6656 UR - https://www.unboundmedicine.com/medline/citation/19254060/The_Tessier_number_5_facial_cleft:_surgical_strategies_and_outcomes_in_six_patients_ L2 - https://journals.sagepub.com/doi/10.1597/07-192.1?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -