Surgical Management of a Rare Bilateral Tessier Number 4 and 7 Facial Cleft: A Case Report

Authors

  • Vyan Hiwa Mohammed Raouf M.B.Ch.B. Sulaimanyah Burn, Reconstructive and Plastic Surgery Hospital, Kurdistan Region-Iraq
  • Ari Raheem Qader M.B.Ch.B FICMS (Plastic Surgery), Professor in Plastic Surgery, Head of Plastic Surgery Dep./College of Medicine/University of Sulaymaniyah, Sulaymaniah-Iraq

DOI:

https://doi.org/10.56056/

Keywords:

Congenital malformation, Facial cleft, Macrostomia

Abstract

Background: craniofacial clefts are rare congenital anomalies of unknown etiology of which only few case reports are available in the literature.

Case report: this is the first case report of a two-week-old child presented with bilateral facial cleft; Tessier No.4 on the right and Tessier No.7 on the left side of the face treated surgically in Kurdistan region of Iraq.

Conclusion: management of these children is complex and highly individualized, sharing more of such reports will help in developing better strategies for their treatment.

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References

1. Kawamoto Jr HK. The kaleidoscopic world of rare craniofacial clefts: order out of chaos (Tessier classification). Clin Plast Surg. 1976;3(4):529–72.

2. Bisetty V, Pillay P, Omodan A, Madaree A, Lazarus L. Tessier cleft numbers 3 and 4: Presentation of soft tissue and bony deformities in a select South African population. Transl Res Anat. 2022;29:100223.

3. Khorasani H, Boljanovic S, Knudsen MAK, Jakobsen LP. Surgical management of the Tessier 7 cleft: A review and presentation of 5 cases. JPRAS open. 2019 Dec 1 [cited 2022 Jun 9];22:9–18.

4. Carstens MH. Pathologic anatomy of the soft palate, part 1: Embryology, the hard tissue platform, and evolution. J Cleft Lip Palate Craniofacial Anomalies. 2017, Jan–Jun; 4(1):37-64.

5. Gawrych E, Janiszewska-Olszowska J, Chojnacka H. Tessier type 3 oblique facial cleft with a contralateral complete cleft lip and palate. Int J Oral Maxillofac Surg. 2010 Nov;39(11):1133–6.

6. Tessier P. Anatomical classification of facial, cranio-facial and latero-facial clefts. J Maxillofac Surg. 1976;4:69–92.

7. Alonso N, Freitas R da S, de Oliveira E Cruz GA, Goldenberg D, Dall’Oglio Tolazzi AR. Tessier no. 4 facial cleft: evolution of surgical treatment in a large series of patients. Plast Reconstr Surg. 2008 Nov;122(5):1505–13.

8. Georgiade G, Riefkohl R, L. Scott Levin S. Georgiade Plastic, Maxillofacial, and Reconstructive Surgery. 3rd Edition. Duke University, Durham, NC. Williams & Wilkins; Subsequent edition.1997; January 1: 273-96

9. Isik D, Tercan M, Bekerecioglu M. Tessier no.7 unilateral cleft: Two case reports. East J Med. 2011;16:90–93.

10. Abdollahifakhim S, Shahidi N, Bayazian G. A bilateral tessier number 4 and 5 facial cleft and surgical strategy: a case report. Iran J Otorhinolaryngol. 2013 Oct; 25(73): 259–262.

11. Balaji SM. Two-stage Corrections of Rare Facial Tessier’s Cleft - 3,4,5,6,7. Ann Maxillofac Surg. 2017 Jul-Dec; 7(2): 287–290.

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Published

2026-03-01

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Section

Articles

How to Cite

Surgical Management of a Rare Bilateral Tessier Number 4 and 7 Facial Cleft: A Case Report. (2026). AMJ (Advanced Medical Journal) , 11(1), 47-51. https://doi.org/10.56056/