Tessier Facial Clefts

Tessier clefts are rare, occurring between 1 and 5 per 100,000 births.  (Longaker et al 1997, p 1501). The Tessier 4 cleft is also rare; fewer than   50 cases have been reported in the medical journals. (Longaker, 1997, p 1501) (Akoz et al, 1996, p 252).

The French surgeon, Dr. Paul Tessier, who proposed this numerical  designation, established that "Clefts occur in well-defined places."  (Tessier, 1976, p 70) and went on to define clefting lines. (Insert diagram of clefting lines). His work brings a descriptive order to complex facial clefting and is a simple way of describing the position and extent of the cleft.

Staged Reconstruction Bibliography

David, J. David; Moore, M.H.; Cooter, R.D.; "Tessier Clefts Revisited With  A Third Dimension", Cleft palate journal, July 1989, Vol. 26, No. 3, (163-185)

Furlow, J.T.; "Cleft Palate Repair by double opposing Z-plasty", Plastic and Reconstructive Surgery, December 1986 (724-738)

Horswell, B.B.; Castiglione, C.L.; Poole, A.E.; Assael, L.A.; "The double reversing Z-plasty in primary palatoplasty: operative experience and early results." Journal of oral maxillofacial Surgery, February 1993 (145-150)

Longaker, M.T. and Siebert, J. W., "Microsurgical Correction of Facial Contour in Congenital Craniofacial malformations: The Marriage of hard and Soft Tissue", Plastic and Reconstructive Surgery, November 1996 (942-950)

Longaker, M.T.; Lipschutz, G. S.; Kawamoto, H.K. "Reconstruction of Tessier No. 4 Clefts Revisited", Plastic and Reconstructive Surgery, May 1997, (1501-1507)

McWilliams, B.J.; Randall. P.; LaRossa, D.; Cohen, S. Yu, J.; Cohen, M.; Solot, C.; "Speech characteristics associated with the Furlow palatoplasty as compared with other surgical techniques.: Plastic and Reconstructive Surgery, September 1996 (610-621)

Resnick, J.I.; Kawamoto, H.K.; "Rare Craniofacial Clefts: Tessier No. 4   Clefts", Plastic and Reconstructive Surgery, June 1990 (843-849)

Stretch, J.R.; Poole, M. D.; "Nasolacrimal abnormalities in oblique facial clefts", British Journal of Plastic Surgery, 1990 43 (463-467)

Tessier, P., "Anatomical Classification of Facial, Cranio-Facial and Latero-Facial Clefts", Journal of Maxillofacial Surgery, 4 /1976 ( 69-92)

Toth, Bryan A.; Glafkides, M.C. and Wandel, A.; "The Role of Tissue Expansion in the Treatment of Atypical Facial Clefting", Plastic and Reconstructive Surgery, July 1990, (119-122)

To be continued...

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