Long-Term Follow-Up of the Patients With Combined Tessier Number 7 Cleft and Unilateral Cleft Lip.
Joseph Luo, Yen-Ting Liu, Yu-Ray Chen et al.
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Case in brief
The report describes three patients with a combined Tessier number 7 cleft, unilateral cleft lip, and craniofacial microsomia. They received multidisciplinary care at a craniofacial centre, with long-term follow-up of at least 29 years. The authors describe their phenotype, treatment course, and reconstructive principles from birth through adulthood; the abstract does not specify individual findings or outcomes.
What made this case unusual
The combination of Tessier number 7 cleft with unilateral cleft lip is exceptionally uncommon in the authors’ experience: they were aware of only one previously reported case. All three patients also had craniofacial microsomia.
Diagnostic / clinical pearl
Assess for coexisting craniofacial microsomia when evaluating a Tessier number 7 cleft with unilateral cleft lip; this report documents the combination in all three patients.
Why it matters
Long-term follow-up through adulthood can inform understanding of the phenotype and reconstructive approach in this uncommon combination of anomalies.