Oh Ji-Hyeon, Park Young-Wook
Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung-Wonju National University, 7, Jukheon-gil, Gangneung-si, Gangwon-do South Korea.
Maxillofac Plast Reconstr Surg. 2018 May 5;40(1):9. doi: 10.1186/s40902-018-0147-3. eCollection 2018 Dec.
Bilateral Tessier number 3 clefts are extremely rare, and their surgical treatments have not been well established.
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.
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.
双侧第3型特西埃面裂极为罕见，其外科治疗方法尚未完全确立。
作者描述了一名患者的病例，该患者右侧为伴有小眼畸形的第3、11型特西埃面裂，左侧为伴有无眼畸形的第3型特西埃面裂以及腭裂。我们通过上颌前徙、唇裂修复、鼻延长修复面裂、面中部前移以及上睑转位皮瓣并内眦复位同时修复双侧软组织裂。术后，患者面部美观，无明显瘢痕。
我们通过面中部前移及面部肌肉复位而非传统的交错Z成形术，在功能和美观方面均取得了良好效果。本文介绍了我们的解剖修复手术方式及3个月的随访结果。
