Anatomical repair of a bilateral Tessier No. 3 cleft by midfacial advancement / 대한악안면성형재건외과학회지
Maxillofacial Plastic and Reconstructive Surgery
;
: 9-2018.
Article
in English
| WPRIM
| ID: wpr-741571
ABSTRACT
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Anophthalmos
/
Microphthalmos
/
Follow-Up Studies
/
Cleft Lip
/
Cleft Palate
/
Cicatrix
/
Eyelids
/
Facial Muscles
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
Maxillofacial Plastic and Reconstructive Surgery
Year:
2018
Type:
Article
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