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http://dx.doi.org/10.5999/aps.2021.00857

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

Lee, Hyun Seung (Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine)
Seo, Hyung Joon (Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine)
Bae, Yong Chan (Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine)
Publication Information
Archives of Plastic Surgery / v.48, no.6, 2021 , pp. 630-634 More about this Journal
Abstract
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;
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