The Tessier number 14 facial cleft: a 20 years follow-up.
Here we report a case of a Tessier number 14 cleft, the rarest form of craniofacial cleft, and our step-wise approach to its surgical correction. The patient's appearance was analyzed over a 20-year follow-up period. At the fourth and final operation, the interorbital distance was reduced, the maxilla was advanced, rib and costal cartilage were grafted for augmentation of the nasal bone, and a double eyelid fold operation was performed. Although the surgical results were not entirely satisfactory from an esthetic point of view, this step-wise surgical approach has allowed gradual improvement in the patient's facial appearance.
Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University, Bucheon 420-767, Republic of Korea.
Seung Min
SM
Nam
Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University, Bucheon 420-767, Republic of Korea. Electronic address: psyb@schmc.ac.kr.
Yong Bae
YB
Kim
D019882:Blepharoplasty / Q000379:methods; D016025:Bone Transplantation / Q000379:methods; D002356:Cartilage / Q000637:transplantation; D002508:Cephalometry / Q000379:methods; D002675:Child, Preschool; D019465:Craniofacial Abnormalities / Q000145:classification / Q000601:surgery*; D003399:Craniotomy / Q000379:methods; D004954:Esthetics; D005143:Eyelids / Q000002:abnormalities; D005260:Female; D005500:Follow-Up Studies; D005624:Frontal Bone / Q000601:surgery; D006801:Humans; D008437:Maxilla / Q000002:abnormalities / Q000601:surgery; D009666:Nose / Q000002:abnormalities; D009915:Orbit / Q000002:abnormalities / Q000473:pathology / Q000601:surgery; D019857:Osteogenesis, Distraction / Q000379:methods; D010027:Osteotomy / Q000379:methods; D019340:Osteotomy, Le Fort / Q000379:methods; D019651:Plastic Surgery Procedures / Q000379:methods*; D012225:Rhinoplasty / Q000379:methods
Facial cleft; Step-wise surgical approach; Subcranial osteotomy