A 32 year-old pregnant woman, PARA 0000, was sent to our hospital at 20 weeks and 5 days. She had no history of medical diseases and abuse of drugs or alcohol. Her family history was normal.
Video 01: UPPER LIP
Video 02: NOSE
Video 03: ORBIT
Video 04: MAXILLARY
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Question: Which type is it of this facial cleft based on the Tessier’s classification?
This is a bilateral Tessier type 3 because the cleft is from the nasal alar up to the medial orbit bilaterally. However, this is a rare case of Type 3 because the upper lip and the maxilla are intact.
Facial cleft – also called craniofacial cleft – is one of the most commonly arising non‐lethal congenital abnormalities. The worldwide incidence ranges between 1 and 2.2/1000, depending on the geographical region [1].
The classification proposed by Tessier uses the numbers from 0 to 14 depending on the location of a cleft in relation to the median facial line. Clefts number 0 to 6 are craniofacial defects, while clefts number 8 to 14 are cerebrocranial defects [2]. The classification is simple, logical and has been widely accepted due to the precise description of a defect and facilitation of comparison of various defects between centers.
References
[1] Moore, MH. Rare craniofacial clefts. The Journal of Craniofacial Surgery 1996; 7 (6): 408–11.
[2] Tessier P. Anatomical classification of facial, cranio-facial and latero-facial clefts. Journal of Maxillofacial Surgery 1976; 4 (2): 69–92.
This is a bilateral Tessier type 3 because the cleft is from the nasal alar up to the medial orbit bilaterally. However, this is a rare case of Type 3 because the upper lip and the maxilla are intact.
Facial cleft – also called craniofacial cleft – is one of the most commonly arising non‐lethal congenital abnormalities. The worldwide incidence ranges between 1 and 2.2/1000, depending on the geographical region [1].
The classification proposed by Tessier uses the numbers from 0 to 14 depending on the location of a cleft in relation to the median facial line. Clefts number 0 to 6 are craniofacial defects, while clefts number 8 to 14 are cerebrocranial defects [2]. The classification is simple, logical and has been widely accepted due to the precise description of a defect and facilitation of comparison of various defects between centers.
References
[1] Moore, MH. Rare craniofacial clefts. The Journal of Craniofacial Surgery 1996; 7 (6): 408–11.
[2] Tessier P. Anatomical classification of facial, cranio-facial and latero-facial clefts. Journal of Maxillofacial Surgery 1976; 4 (2): 69–92.
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