Tessier facial clefts are rare congenital abnormalities and among the most challenging deformities treated by craniofacial surgeons. Despite various surgical interventions, treatment outcomes remain limited, resulting in a higher burden of care and lower quality of life. PreSurgical Infant Orthopedics (PSIO) has shown benefits in cleft care, but its application to Tessier clefts is underreported. This report assesses the long-term surgical outcomes of 3 patients with Tessier clefts who underwent PSIO. The cleft width and premaxilla reduction were observed in all 3 patients.
KimGHBaekRMKimBK. Soft tissue reconstruction in wide Tessier number 3 cleft using the straight-line advanced release technique. Arch Craniofac Surg. 2019;20(4):255-259.
2.
OmodanAPillayPLazarusLMadareeASatyapalK. Scoping review of the morphology and anthropometry of Tessier craniofacial clefts numbers 3 and 4. Syst Rev. 2019;8(1):42.
3.
BudihardjaASLutfiantoBLimanNPHiesmantjajaHWolffK-D. Rare facial cleft: Surgical treatment and middle-term follow-up during charity operation. Craniomaxillofac Trauma Reconstr. 2020;13(2):138-142.
4.
Cortez-OrtegaCGarrocho-RangelJAFlores-VelázquezJRuiz-RodríguezSNoyola-FríasMÁSantos-DíazMÁPozos-GuillénA. Management of the amniotic band syndrome with cleft palate: Literature review and report of a case. Case Rep Dent. 2017;2017:7620416.
5.
BalajiSM. Two-stage corrections of rare facial tessier's cleft - 3,4,5,6,7. Ann Maxillofac Surg. 2017;7(2):287-290.
6.
GawrychEJaniszewska-OlszowskaJChojnackaH. Tessier type 3 oblique facial cleft with a contralateral complete cleft lip and palate. Int J Oral Maxillofac Surg. 2010;39(11):1133-1136.
NaiduPYaoCAChongDKMageeWP. Cleft palate repair: A history of techniques and variations. Plast Reconstr Surg Glob Open. 2022;10(3):e4019.
9.
Samuel NoordhoffMChenY-RChenK-THongK-FLoL-J. The surgical technique for the complete unilateral cleft lip-nasal deformity. Operative Tech Plastic Reconstr Surg. 1995;2(3):167-174.
10.
AllamKALimAAElsherbinyAKawamotoHK. The tessier number 3 cleft: A report of 10 cases and review of literature. J Plast Reconstr Aesthet Surg. 2014;67(8):1055-1062.
11.
NikitaKAmineFMohammadZ. Protocols in presurgical infant orthopaedic treatment—an evidence based review. In: Craniofacial surgery - recent advances, new perspectives and applications. Rijeka: IntechOpen; 2023:1-9.
12.
CruzC. Presurgical orthopedics appliance: The latham technique. Oral Maxillofac Surg Clin North Am. 2016;28(2):161-168.
13.
AvinoamSShetyePR. History and current presurgical infant orthopedic treatment. In: Shetye PR, Gibson TL, eds. Cleft and craniofacial orthodontics. 1st ed. India: John Wiley&Sons; 2023:87-100.
14.
NiranjanePPKambleRHDiagavaneSPShrivastavSSBatraPVasudevanSDPatilP. Current status of presurgical infant orthopaedic treatment for cleft lip and palate patients: A critical review. Indian J Plast Surg. 2014;47(3):293-302.
15.
WangJ-CDuF-FMengS-SWeiY-SGuoX-T. Changes to intraocular pressure and its correlation with corneal diameter in infants aged from 0 to 36 months. Front Pediatr.2022;10:954337.
16.
BatraPDatanaSAroraA. Presurgical infant orthopedics: A developmental and clinical evolution. J Cleft Lip Palate Craniofacial Anomalies.2022;9(1):101-109.
17.
ChooHMaguireMLowDW. Modified technique of presurgical infant maxillary orthopedics for complete unilateral cleft lip and palate. Plast Reconstr Surg. 2012;129(1):249-252.
18.
LeeWTKoltaiPJ. Nasal deformity in neonates and young children. Pediatr Clin N Am.2003;50(2):459-467.
19.
SpolyarJLHnatiukMShaheenKWMertzJKHandlerLFJarialRRoldánJC. Tessier No. 3 and No. 4 clefts: Sequential treatment in infancy by pre-surgical orthopedic skeletal contraction, comprehensive reconstruction, and novel surgical lengthening of the ala base-canthal distance. J Craniomaxillofac Surg. 2015;43(7):1261-1268.
20.
StellzigABasdraEKMühlingJKomposchG. Early maxillary orthopedics in a child with an oblique facial cleft. Cleft Palate Craniofac J. 1997;34(2):147-150.
21.
EsenlikEAydınMASpolyarJL. Serial presurgical orthopedics for eye repositioning and optimization of soft-tissue repair in an infant with tessier No. 4 cleft. Cleft Palate Craniofac J. 2016;53(4):481-490.
22.
MaedaTOyamaAOkamotoTFunayamaEFurukawaHHayashiT, Murao N, Sato Y, Yamamoto Y.Combination of tessier clefts 3 and 4: Case report of a rare anomaly with 12 years’ follow-up. J Craniomaxillofac Surg. 2014;42(8):1985-1989.
