title: Tessier number 4 bilateral orbito-facial cleft: a 26-year follow-up.
abstract: Orbito-facial number 4 clefts are the rarest craniofacial clefts and only a few cases have been reported. We report a case of a complete bilateral Tessier number 4 cleft, and our approach to surgical correction. We analyse the patient's treatment plan over a 26-year follow-up period. We comment on the age at which the first surgical procedure is commonly performed with or without a primary bone graft, as well as the use of the facial plasty technique with interdigitating Z-plasty flaps and rotation-transposition flaps. Closure of the cleft can constitute an emergency when the patient's globe is exposed.
authors: Department of Paediatric Maxillo-Facial and Plastic Facial Surgery, Clocheville Hospital, 37044 Tours Cedex, France. laure@med.univ-tours.fr
authors: Boris
authors: B
authors: Laure
authors: Arnaud
authors: A
authors: Picard
authors: Béatrice
authors: B
authors: Bonin-Goga
authors: Anne
authors: A
authors: Letouze
authors: Anaïs
authors: A
authors: Petraud
authors: Dominique
authors: D
authors: Goga
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D002971:Cleft Lip / Q000150:complications / Q000534:rehabilitation*; D002972:Cleft Palate / Q000150:complications / Q000534:rehabilitation*; D019465:Craniofacial Abnormalities / Q000150:complications / Q000534:rehabilitation*; D005147:Facial Bones / Q000002:abnormalities* / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009915:Orbit / Q000002:abnormalities / Q000601:surgery; D056948:Orthognathic Surgical Procedures / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods; D012886:Skull / Q000002:abnormalities; D016896:Treatment Outcome; D055815:Young Adult