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Combination of Tessier clefts 3 and 4: case report of a rare anomaly with 12 years' follow-up.
J Craniomaxillofac Surg. 2014 Dec; 42(8):1985-9.JC

Abstract

Tessier cleft types 3 and 4 are both rare craniofacial anomalies. Here we present the first case of a girl born with a combined anomaly of Tessier clefts 3 and 4 with severe bilateral cleft lip, a displaced premaxilla, and three-dimensional underdevelopment of the hard and soft tissues of the maxilla and zygoma. This type of rare facial cleft poses a major operative challenge. Over a period of years, presurgical alveolar molding with an active appliance was followed by seven operations. A satisfactory esthetic outcome was obtained. A multidisciplinary approach to treatment with a plastic surgeon in charge of the operations and an orthodontist in charge of the cleft deformity is essential.

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Authors+Show Affiliations

Maeda T
Department of Plastic and Reconstructive Surgery (Dr. Yuhei Yamamoto, MD, PhD, Departmental Chief), Hokkaido University Graduate School of Medicine, Japan.
Oyama A
Department of Plastic and Reconstructive Surgery (Dr. Yuhei Yamamoto, MD, PhD, Departmental Chief), Hokkaido University Graduate School of Medicine, Japan. Electronic address: akihiko.oyama@mac.com.
Okamoto T
Department of Plastic and Reconstructive Surgery (Dr. Yuhei Yamamoto, MD, PhD, Departmental Chief), Hokkaido University Graduate School of Medicine, Japan.
Funayama E
Department of Plastic and Reconstructive Surgery (Dr. Yuhei Yamamoto, MD, PhD, Departmental Chief), Hokkaido University Graduate School of Medicine, Japan.
Furukawa H
Department of Plastic and Reconstructive Surgery (Dr. Yuhei Yamamoto, MD, PhD, Departmental Chief), Hokkaido University Graduate School of Medicine, Japan.
Hayashi T
Department of Plastic and Reconstructive Surgery (Dr. Yuhei Yamamoto, MD, PhD, Departmental Chief), Hokkaido University Graduate School of Medicine, Japan.
Murao N
Department of Plastic and Reconstructive Surgery (Dr. Yuhei Yamamoto, MD, PhD, Departmental Chief), Hokkaido University Graduate School of Medicine, Japan.
Sato Y
Department of Orthodontics (Dr. Junichiro Iida, DDS, PhD, Departmental Chief), Division of Oral Functional Science, Hokkaido University Graduate School of Dental Medicine, Japan.
Yamamoto Y
Department of Plastic and Reconstructive Surgery (Dr. Yuhei Yamamoto, MD, PhD, Departmental Chief), Hokkaido University Graduate School of Medicine, Japan.

MeSH

Activator AppliancesAlveolar ProcessBone TransplantationCleft LipCleft PalateCraniofacial AbnormalitiesEsthetics, DentalFemaleFollow-Up StudiesHumansInfant, NewbornMaxillaNoseOrbitPalatal ObturatorsReconstructive Surgical ProceduresSurgical FlapsTreatment OutcomeZygoma

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

25441869

Citation

Maeda, Taku, et al. "Combination of Tessier Clefts 3 and 4: Case Report of a Rare Anomaly With 12 Years' Follow-up." Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery, vol. 42, no. 8, 2014, pp. 1985-9.
Maeda T, Oyama A, Okamoto T, et al. Combination of Tessier clefts 3 and 4: case report of a rare anomaly with 12 years' follow-up. J Craniomaxillofac Surg. 2014;42(8):1985-9.
Maeda, T., Oyama, A., Okamoto, T., Funayama, E., Furukawa, H., Hayashi, T., Murao, N., Sato, Y., & Yamamoto, Y. (2014). Combination of Tessier clefts 3 and 4: case report of a rare anomaly with 12 years' follow-up. Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery, 42(8), 1985-9. https://doi.org/10.1016/j.jcms.2014.09.003
Maeda T, et al. Combination of Tessier Clefts 3 and 4: Case Report of a Rare Anomaly With 12 Years' Follow-up. J Craniomaxillofac Surg. 2014;42(8):1985-9. PubMed PMID: 25441869.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Combination of Tessier clefts 3 and 4: case report of a rare anomaly with 12 years' follow-up. AU - Maeda,Taku, AU - Oyama,Akihiko, AU - Okamoto,Toru, AU - Funayama,Emi, AU - Furukawa,Hiroshi, AU - Hayashi,Toshihiko, AU - Murao,Naoki, AU - Sato,Yoshiaki, AU - Yamamoto,Yuhei, Y1 - 2014/09/16/ PY - 2014/03/03/received PY - 2014/06/17/revised PY - 2014/09/01/accepted PY - 2014/12/3/entrez PY - 2014/12/3/pubmed PY - 2016/3/2/medline KW - Active appliance KW - Facial cleft KW - Presurgical alveolar molding KW - Tessier cleft 3 KW - Tessier cleft 4 SP - 1985 EP - 9 JF - Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery JO - J Craniomaxillofac Surg VL - 42 IS - 8 N2 - Tessier cleft types 3 and 4 are both rare craniofacial anomalies. Here we present the first case of a girl born with a combined anomaly of Tessier clefts 3 and 4 with severe bilateral cleft lip, a displaced premaxilla, and three-dimensional underdevelopment of the hard and soft tissues of the maxilla and zygoma. This type of rare facial cleft poses a major operative challenge. Over a period of years, presurgical alveolar molding with an active appliance was followed by seven operations. A satisfactory esthetic outcome was obtained. A multidisciplinary approach to treatment with a plastic surgeon in charge of the operations and an orthodontist in charge of the cleft deformity is essential. SN - 1878-4119 UR - https://www.unboundmedicine.com/medline/citation/25441869/Combination_of_Tessier_clefts_3_and_4:_case_report_of_a_rare_anomaly_with_12_years'_follow_up_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1010-5182(14)00254-6 DB - PRIME DP - Unbound Medicine ER -