Maxillofacial Plastic and Reconstructive Surgery

  • 제40권
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  • Pages.9.1-9.4
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  • 2018
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  • 2288-8101(pISSN)
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  • 2288-8586(eISSN)
대한악안면성형재건외과학회 (Korean Association of Maxillofacial Plastic and Reconstructive Surgeons)
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Anatomical repair of a bilateral Tessier No. 3 cleft by midfacial advancement

  • Oh, Ji-hyeon (Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung-Wonju National University) ;
  • Park, Young-Wook (Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung-Wonju National University)
  • 투고 : 2018.02.02
  • 심사 : 2018.02.21
  • 발행 : 2018.12.31
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초록

Background: Bilateral Tessier number 3 clefts are extremely rare, and their surgical treatments have not been well established. Case presentation: The authors describe the case of a patient with a right Tessier number 3, 11 facial cleft with microphthalmia, a left Tessier number 3 facial cleft with anophthalmia, and cleft palate. We repaired simultaneously the bilateral soft tissue clefts by premaxillary repositioning, cleft lip repair, facial cleft repair by nasal lengthening, midfacial advancement, and an upper eyelid transposition flap with repositioning both the medial canthi. Postoperatively, the patient showed an esthetically acceptable face without unnatural scars. Conclusions: We achieved good results functionally and esthetically by midfacial advancement with facial muscle reposition instead of traditional interdigitating Z-plasties. The surgical modality of our anatomical repair and 3 months follow-up results are presented.

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참고문헌

  1. Tessier P (1976) Anatomical classification facial, cranio-facial and latero-facial clefts. J Maxillofac Surg 4:69-92 https://doi.org/10.1016/S0301-0503(76)80013-6
  2. Eppley BL, van Aalst JA, Robey A, Havlik RJ, Sadove AM (2005) The spectrum of orofacial clefting. Plast Reconstr Surg 115:101e-114e https://doi.org/10.1097/01.PRS.0000164494.45986.91
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  7. Wenbin Z, Hanjiang W, Xiaoli C, Zhonglin L (2007) Tessier 3 cleft with clinical anophthalmia: two case reports and a review of the literature. Cleft Palate Craniofac J 44:102-105 https://doi.org/10.1597/05-155
  8. Sesenna E, Anghinoni ML, Modugno AC, Magri AS (2012) Tessier 3 cleft with bilateral anophthalmia: case report and surgical treatment. J Craniomaxillofac Surg 40:690-693 https://doi.org/10.1016/j.jcms.2011.12.007
  9. Wu D, Wang G, Yang Y, Chen Y, Wan T (2013) Severe bilateral Tessier 3 clefts in a Uighur girl: the significance and surgical repair. J Craniomaxillofac Surg 41:598-602 https://doi.org/10.1016/j.jcms.2012.11.040
  10. Chen PK, Chang FC, Chan FC, Chen YR, Noordhoff MS (2012) Repair of Tessier no. 3 and no. 4 craniofacial clefts with facial unit and muscle repositioning by midface rotation advancement without Z-plasties. Plast Reconstr Surg 129:1337-1344 https://doi.org/10.1097/PRS.0b013e31824ec310
  11. Tollefson TT, Senders CM, Sykes JM, Byorth PJ (2006) Botulinum toxin to improve results in cleft lip repair. Arch Facial Plast Surg 8:221-222 https://doi.org/10.1001/archfaci.8.3.221
  12. Fu KJ, Teichgraeber JF, Greives MR (2016) Botulinum toxin use in pediatric plastic surgery. Ann Plast Surg 77:577-582 https://doi.org/10.1097/SAP.0000000000000637

피인용 문헌

  1. Distribution, side involvement, phenotype and associated anomalies of Korean patients with craniofacial clefts from single university hospital-based data obtained during 1998-2018 vol.50, pp.6, 2020, https://doi.org/10.4041/kjod.2020.50.6.383