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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.

Authors+Show Affiliations

Department of Plastic and Reconstructive Surgery (Dr. Yuhei Yamamoto, MD, PhD, Departmental Chief), Hokkaido University Graduate School of Medicine, Japan.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.Department of Plastic and Reconstructive Surgery (Dr. Yuhei Yamamoto, MD, PhD, Departmental Chief), Hokkaido University Graduate School of Medicine, Japan.Department of Plastic and Reconstructive Surgery (Dr. Yuhei Yamamoto, MD, PhD, Departmental Chief), Hokkaido University Graduate School of Medicine, Japan.Department of Plastic and Reconstructive Surgery (Dr. Yuhei Yamamoto, MD, PhD, Departmental Chief), Hokkaido University Graduate School of Medicine, Japan.Department of Plastic and Reconstructive Surgery (Dr. Yuhei Yamamoto, MD, PhD, Departmental Chief), Hokkaido University Graduate School of Medicine, Japan.Department of Plastic and Reconstructive Surgery (Dr. Yuhei Yamamoto, MD, PhD, Departmental Chief), Hokkaido University Graduate School of Medicine, Japan.Department of Orthodontics (Dr. Junichiro Iida, DDS, PhD, Departmental Chief), Division of Oral Functional Science, Hokkaido University Graduate School of Dental Medicine, Japan.Department of Plastic and Reconstructive Surgery (Dr. Yuhei Yamamoto, MD, PhD, Departmental Chief), Hokkaido University Graduate School of Medicine, Japan.

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 -