Journal of Cranio-Maxillo-Facial Surgery
Volume 38, Issue 4 , Pages 245-247, June 2010

Tessier number 4 bilateral orbito-facial cleft: A 26-year follow-up

  • Boris Laure, MD

      Affiliations

    • Department of Paediatric Maxillo-Facial and Plastic Facial Surgery, Clocheville Hospital, 37044 Tours Cedex, France
    • University François Rabelais, Faculty of Medicine of Tours, 2bis Boulevard Tonnellé, 37000 Tours, France
    • Corresponding Author InformationDr. Boris LAURE, Service de Chirurgie Maxillo-faciale et Plastique de la Face, Hôpital Trousseau, 37044 Tours Cedex, France. Tel.: +33 247 474 640; Fax: +33 247 478 529.
    • ,
  • Arnaud Picard, MD, PhD

      Affiliations

    • Department of Paediatric Maxillo-Facial and Plastic Facial Surgery, Clocheville Hospital, 37044 Tours Cedex, France
    • University François Rabelais, Faculty of Medicine of Tours, 2bis Boulevard Tonnellé, 37000 Tours, France
    • ,
  • Béatrice Bonin-Goga, MD

      Affiliations

    • Department of Paediatric Maxillo-Facial and Plastic Facial Surgery, Clocheville Hospital, 37044 Tours Cedex, France
    • University François Rabelais, Faculty of Medicine of Tours, 2bis Boulevard Tonnellé, 37000 Tours, France
    • ,
  • Anne Letouze, MD

      Affiliations

    • Department of Paediatric Surgery, Clocheville Hospital, 37044 Tours Cedex, France
    • University François Rabelais, Faculty of Medicine of Tours, 2bis Boulevard Tonnellé, 37000 Tours, France
    • ,
  • Anaïs Petraud

      Affiliations

    • Department of Paediatric Maxillo-Facial and Plastic Facial Surgery, Clocheville Hospital, 37044 Tours Cedex, France
    • University François Rabelais, Faculty of Medicine of Tours, 2bis Boulevard Tonnellé, 37000 Tours, France
    • ,
  • Dominique Goga, MD

      Affiliations

    • Department of Paediatric Maxillo-Facial and Plastic Facial Surgery, Clocheville Hospital, 37044 Tours Cedex, France
    • University François Rabelais, Faculty of Medicine of Tours, 2bis Boulevard Tonnellé, 37000 Tours, France

Received 8 December 2008; accepted 5 June 2009. published online 09 July 2009.

Summary 

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.

Keywords: craniofacial cleft, Tessier number 4 cleft, oblique facial cleft

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PII: S1010-5182(09)00106-1

doi:10.1016/j.jcms.2009.06.008

Journal of Cranio-Maxillo-Facial Surgery
Volume 38, Issue 4 , Pages 245-247, June 2010

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