The role of cBct on the diagnosis of unilateral tessier Facial cleft 5
Abstract
Tessier cleft 5 is the rarest of oblique clefts and has a big impact on those who were born with it. Cranio‑facial clefts (CFCs) can be easily diagnosed by clinical examination in cases with external soft tissue manifestations. Radiographic investigations were also used to evaluate the position of the cleft. However, two‑dimensional radiographs may lead to misdiagnosis due to the superimposition of the craniofacial skeleton. Recently, cone-beam computed tomography (CBCT) provided accurate three-dimensional imaging that is widely used but not routinely in diagnosis and treatment planning.
This paper presented a rare case of Tessier cleft 5 with no extraoral soft tissue manifestations using a CBCT scan for the definite diagnosis and also the treatment planning and discussed a radiographic approach to the diagnosis of the CFCs.
References
Kawamoto HK. The kaleidoscopic world of rare craniofacial clefts: order out of chaos (Tessier classification). Clin Plast Surg. 1976;3:529-72.
Moore MH. Rare craniofacial clefts. J Craniofac Surg. 1996;7:408-11.
Chattopadhyay D, et al. Bilateral Tessier number 5 facial cleft with limb constriction ring: The first case report with an update of literature review. J Oral Maxillofac Surg Med Pathol. 2013;25:43-5.
Fakhim SA, Shahidi N, Bayazian G. A Bilateral Tessier Number 4 and 5 Facial Cleft and Surgical Strategy: A Case Report. Iran J Otorhinolaryngol. 2013;25:259-62.
Jhamb A, Mohanty S. A chronicle of Tessier no. 0 and 1 facial cleft and its surgical management. J Maxillofac Oral Surg. 2009. 8:178-80.
Whitaker LA, Pashayan H, Reichman J. A Proposed New Classification of Craniofacial Anomalies. Cleft Palate J. 1981; 18:161-76.
Fijalkowska M, Antoszewski B. Rare Facial Clefts. Pol Przegl Chir. 2015;87:389-94.
Tessier P. Anatomical classification of facial, cranio-facial and latero-facial clefts. J Maxillofac Surg. 1976;4:69-92.
Meulen JVD. Oblique facial clefts: pathology, etiology, and reconstruction. Plast Reconstr Surg. 1985;76:212-24.
Olasoji HO, Tahir C, Isa A. An unusual bilateral oblique facial cleft in a newborn. Int J of Pediatr Otorhinolaryngol. 2005; 69:999-1001.
Freitas RDS, et al. The Tessier Number 5 Facial Cleft: Surgical Strategies and Outcomes in Six Patients. Cleft Palate Craniofac J. 2009;46:179-86.
Pereira FJ, et al. Ophthalmic considerations in the management of Tessier cleft 5/9. Ophthal Plast Reconstr Surg. 2010;26:450-3.
David DJ, Moore MH, Cooter RD. Tessier Clefts Revisited with a Third Dimension. Cleft Palate J. 1989;26:163-85.
Redford-Badwal D, Mabry K, Frassinelli J. Impact of cleft lip and/ or palate on nutritional health and oro-motor development. Dent Clin North Am 2003;47:305-17.
Tobiasen JM. Psychosocial Correlates of Congenital Facial Clefts: A Conceptualization and Model. Cleft Palate J. 1984;21:131-9.
Angelopoulos C, Scarfe WC, Farman AG. A Comparison of Maxillofacial CBCT and Medical CT RSS Download PDF. Atlas of the Oral and Maxillofacial Surgery Clinics of North America. 2012;20:1-17.
Cannistrà C, et al. Orbitofacial cleftnumber 5: radiographic, anatomical, and histologic study of a 24-week-old fetus. Plast Reconstr Surg. 2006;118:1538-42.
Coady MS, Moore MH, Wallis K. Amniotic band syndrome: the association between rare facial clefts and limb ring constrictions. Plast Reconstr Surg. 1998;101:640-9.
Kalantar-Hormozi A, et al. Prevalence of Rare Craniofacial Clefts. J Craniofac Surg. 2017;28:467-70.
Mishra L, et al. Hemifacial Microsomia: A Series of Three Case Reports. J Clin Diagnos Res. 2013;7:2383-6.
Hou M, et al. Lateral or oblique facial clefts associated with accessory maxillae: Review of the literature and report of a case. J CraniomaxilloFac Surg. 2015;43:585-92.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Journal of Medical Globalization
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
