Work

Tessier type 3 facial clefts: A case report and literature review

Year: 2025

Type: article

Abstract: INTRODUCTION AND IMPORTANCE: Tessier type 3 facial clefts are rare congenital anomalies that affect the lip, nose, and medial orbit. These clefts present significant functional and aesthetic challenges requiring a multidisciplinary approach. CASE PRESENTATION: We report two cases of female infants with Tessier type 3 facial clefts. The first case involved bilateral cleft with oculo-palpebral anomalies, while the second case presented unilateral cleft associated with hydrocephalus and limb defects. Both cases underwent surgical correction using a modified Manchester technique, with individualized reconstructive strategies. CLINICAL DISCUSSION: These cases highlight the variable presentation of Tessier type 3 clefts and the challenges in surgical planning. A detailed description of preoperative care, imaging, and operative steps is provided. Improved facial symmetry and function were achieved. CONCLUSION: Early diagnosis, comprehensive neonatal care, individualized treatment planning, and long-term follow-up are critical in managing Tessier type 3 clefts. These cases contribute to the limited literature on this rare condition and highlight evolving surgical approaches.

Source: International Journal of Surgery Case Reports

DOI: 10.1016/j.ijscr.2025.111818

Authors: Hamza Bensaghir, Chaimae Ben Driss, Nawfal Fejjal

Institutions: Mohammed V University, Centre Hospitalier Ibn Sina

Language: English

Topic: Cleft Lip and Palate Research

Subfield: Genetics

Field: Biochemistry, Genetics and Molecular Biology

Domain: Life Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,090