title: A New Surgical Approach for Tessier No. 4 Facial Cleft Reconstruction: Lip-Rescue Flap.
abstract: Craniofacial clefts are rare, severe challenges for surgeons about which there is limited literature. Tessier Number 4 (No. 4) clefts are one of the most complex craniofacial anomalies and present difficulties in surgical treatment. The most-common deformities associated with Tessier No. 4 clefts are displacements of the lower eyelids, medial canthus, and ala and decreased distance between the lower eyelids and lips. In surgery to correct these deformities, the greatest challenges are the design and the placement of the landmarks and incisions. Because of its relative rarity and wide range of severity, no definitive operative methods have been accepted for Tessier No. 4 facial cleft. The present study presents a new lip-rescue flap technique as an alternative approach for reconstructing Tessier No. 4 facial clefts.
authors.affiliation: *Plastic Reconstructive and Aesthetic Surgery Clinic, Ankara Diskapi Yildirim Beyazit Education And Research Hospital, Ankara, Turkey†Plastic Reconstructive and Aesthetic Surgery Department, Showa University School of Medicine, Tokyo, Japan‡Plastic Reconstructive and Aesthetic Surgery Department, Ankara Yildirim Beyazit University, Ankara, Turkey.
authors.forename: Ugur
authors.initials: U
authors.lastname: Horoz
authors.forename: Tomoaki
authors.initials: T
authors.lastname: Kuroki
authors.forename: Nabuhiro
authors.initials: N
authors.lastname: Sato
authors.forename: Yasuyoshi
authors.initials: Y
authors.lastname: Tosa
authors.forename: Hulda Rifat
authors.initials: HR
authors.lastname: Ozakpinar
authors.forename: Ali Teoman
authors.initials: AT
authors.lastname: Tellioglu
authors.forename: Shinya
authors.initials: S
authors.lastname: Yoshimoto
mesh_terms: D002648:Child; D002971:Cleft Lip / Q000601:surgery; D002972:Cleft Palate / Q000601:surgery; D019465:Craniofacial Abnormalities / Q000601:surgery*; D005143:Eyelids / Q000601:surgery; D005145:Face / Q000601:surgery*; D005147:Facial Bones / Q000002:abnormalities; D005260:Female; D006801:Humans; D007223:Infant; D007569:Jaw Abnormalities / Q000601:surgery; D007765:Lacrimal Apparatus / Q000601:surgery; D008046:Lip / Q000601:surgery; D008297:Male; D013524:Surgical Flaps / Q000601:surgery*; D016896:Treatment Outcome