Surgical strategy in a case of Bilateral Tessier cranio facial cleft 5 and 7 - A Case report

Tessier cranio facial cleft is among the rarest congenital anomalies reported in literatures and there are many issues arguing about its multi disciplinary repairing techniques. Amongst the clefts, Number 5 and 7 are extremely rare. There are only a very few literatures describing these clefts and their surgical modalities. Number 5 Tessier cleft begins medial to oral commissure in the upper lip and extends superiorly as a groove through the check and ends at the middle third of lower eyelid. Bony involvement consists of alveolar ridge, maxillary bone lateral to infra orbital foramen and orbits lower rim and floor. Number 7 Tessier cleft begins at the oral commissure and varies from a mild broadening of the oral commissure with a pre auricular skin tag to a complete fissure extending toward a microtic ear. Bony involvement consists of bony cleft passes through pterygo maxillary junction. This case report is about a patient with Bilateral Tessier Number 5 and 7 Facial cleft and the surgical approach on her.