Li Ming, Fu Shuai, Wang Sihang, Cui Qingying, Wu Yong
Department of Oral and Maxillofacial Surgery, Kunming Medical University School and Hospital of Stomatology, Yunnan Key Laboratory of Stomatology, Kunming 650100, China.
Department of Oral and Maxillofacial Surgery, Kunming Medical University School and Hospital of Stomatology, Yunnan Key Laboratory of Stomatology, Kunming 650100, China.
Int J Surg Case Rep. 2024 Aug;121:109981. doi: 10.1016/j.ijscr.2024.109981. Epub 2024 Jun 29.
Oblique facial clefts are uncommon congenital facial deformities. Among them, Tessier No. 3 cleft is an even rare malformation. This study presents a reconstructive option and curative effect for oblique facial cleft deformity of Tessier No. 3.
A 10-year-old girl was admitted to our hospital with "congenital facial deformity of right nose and mid-face". The clinical diagnosis was "oblique facial cleft of Tessier classification No. 3", also known as "naso-orbital cleft". The cleft was surgically repaired with an adjacent flap and nasolabial flap. After surgery, the case underwent uneventful healing with a surviving flap, and the deformity was well repaired. At 3 months to 1 year of follow-up, the flap had a similar feature (color and texture) to the contralateral tissue. A good outcome was obtained with minimal scar and face deformity.
Facial cleft is a clinical type of craniofacial cleft. The soft tissue feature of Tessier No. 3 cleft is that the fissure is located in the joint part of the middle nose, lateral nose, and maxillary process. The operation adopts the method of closing the fissure with soft tissue flap and pedicled flap transplantation is a priority method. In this clinical case, the patient with oblique facial cleft of Tessier classification No. 3 was repaired by the adjacent flap and nasolabial flap.
The application of the adjacent flap and nasolabial flap is a viable option for the reconstruction of oblique facial cleft deformity of Tessier No. 3 in oral surgery.
斜面部裂是一种罕见的先天性面部畸形。其中，第3号泰西耶裂更是一种极为罕见的畸形。本研究提出了一种针对第3号泰西耶斜面部裂畸形的重建方案及治疗效果。
一名10岁女孩因“先天性右侧鼻及面中部畸形”入住我院。临床诊断为“泰西耶分类第3号斜面部裂”，也称为“鼻眶裂”。采用邻位皮瓣和鼻唇沟皮瓣对该裂隙进行了手术修复。术后，该病例皮瓣成活，愈合顺利，畸形得到良好修复。在3个月至1年的随访中，皮瓣与对侧组织具有相似的特征（颜色和质地）。瘢痕和面部畸形最小，取得了良好的效果。
面部裂是颅面裂的一种临床类型。第3号泰西耶裂的软组织特征是裂隙位于中鼻、侧鼻和上颌突的交界部位。手术采用软组织瓣关闭裂隙的方法，带蒂皮瓣移植是首选方法。在本临床病例中，第3号泰西耶分类斜面部裂患者采用邻位皮瓣和鼻唇沟皮瓣进行修复。
在口腔外科中，邻位皮瓣和鼻唇沟皮瓣的应用是修复第3号泰西耶斜面部裂畸形的可行选择。
