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CC BY-NC 4.0 · Arch Plast Surg 2021; 48(06): 630-634
DOI: 10.5999/aps.2021.00857
Pediatric/Craniomaxillofacial/Head&Neck
Case Report

Tessier number 7 cleft with unilateral complete cleft lip and palate: a case report

Hyun Seung Lee 
Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Korea
,
Hyung Joon Seo 
Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Korea
,
Yong Chan Bae 
Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Korea
Biomedical Research Institute, Pusan National University Hospital, Busan, Korea
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To date, there have been no reports of patients showing a Tessier number 7 cleft with unilateral complete cleft lip and palate. Furthermore, no studies have established the sequence, plan, or timing of surgical methods for treating patients presenting the above anomalies simultaneously. We report a case of a Tessier number 7 cleft with unilateral complete cleft lip and palate. Two months after birth, lip adhesion was performed on the unilateral complete cleft lip and total excision was performed on the skin tag. At 4 months of age, Tessier number 7 cleft was corrected. At 6 months of age, surgery involving two small triangular flaps was performed on the unilateral incomplete cleft lip after performing lip adhesion. At 13 months of age, two-flap palatoplasty with a vomer flap was performed on the complete cleft palate. At 6 years of age, open rhinoplasty was performed on the unilateral cleft lip nose deformity. At 9 years of age, bone grafting was performed for the alveolar cleft. At follow-up appointments up to 13 years of age, there were no major complications. Here, we present this patient, surgical procedures and timelines, and show our results demonstrating good postoperative outcomes.

Keywords

Craniofacial abnormality - Orofacial cleft 7 macrostomia - Cleft lip - Surgical procedures, operative

This article was presented as a poster at the PRS KOREA 2020 conference on November 13-15, 2020.




Publication History

Received: 18 May 2021

Accepted: 06 August 2021

Article published online:
22 May 2022

© 2021. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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