A rare case of accessory maxilla and bilateral Tessier no. 7 clefts, a 10-year follow-up

Borzabadi Farahani, Ali, Yen, Stephen L.-K., Francis, Cameron, Lara-Sanchez, Pedro A. and Hammoudeh, Jeffrey 2013. A rare case of accessory maxilla and bilateral Tessier no. 7 clefts, a 10-year follow-up. Journal of Cranio-Maxillofacial Surgery 41 (6) , pp. 527-531. 10.1016/j.jcms.2012.11.019

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Abstract

A Tessier no. 7 cleft is a lateral facial cleft which originates from the oral cavity and extends towards the tragus, involving both soft-tissue and skeletal components. A male patient presenting with both maxillary jaw duplication and bilateral Tessier no. 7 clefts, which has been reported only twice in the literature, is described. Bilateral facial clefts, macrostomia and chondro-cutaneous remnants were noted, which were repaired and resected. With further growth, facial asymmetry and asymmetric facial nerve dysfunction became apparent. Radiographic examination showed an accessory maxillary jaw and a flattened and hypoplastic right coronoid process. A maxillary alveolar cleft was also present between the left second bicuspid and the second permanent molar. This case may represent an under-recognized phenotype with an unusual combination of maxillary jaw duplication, macrostomia, Tessier no. 7 clefts, and chondro-cutaneous remnants. A long-term follow-up of these patients is recommended as they often develop craniofacial deformities later in life.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Dentistry
Publisher:	Elsevier
ISSN:	1010-5182
Date of First Compliant Deposit:	25 October 2024
Date of Acceptance:	12 November 2012
Last Modified:	15 Nov 2024 12:05
URI:	https://orca.cardiff.ac.uk/id/eprint/173361

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