Sơn Trần Thiết, Nhật Phạm Kiến, Nghĩa Phan Tuấn, Dung Phạm Thị Việt, Thuý Tạ Thị Hồng, Pellerin Phillipe
Department of Plastic and Reconstructive Surgery, Hanoi Medical University, No.1 Ton That Tung Street, Dong Da District, Hanoi 11500, Vietnam.
Department of Plastic Reconstructive and Aesthetic Surgery, University of Medicine and Pharmacy, Hanoi National University, 11300, Vietnam.
J Surg Case Rep. 2024 Aug 6;2024(8):rjae481. doi: 10.1093/jscr/rjae481. eCollection 2024 Aug.
Tessier number 10 cleft is one of the rarest facial clefts. Surgical treatment of this type of cleft is challenging due to the complexity of periorbital and temporal soft tissue deformities. A 23-year-old male patient presented with typical facial deformities of Tessier number 10 cleft. The surgical procedure involved using a free anterolateral thigh flap to reconstruct the eye socket, while the superficial temporal artery pedicle scalp flap was used to reconstruct the eyebrow deformity. The patient had no complications and 16 months after surgery, the patient had good aesthetic results. A hair-bearing scalp flap with a pedicle of the frontal branch of the superficial temporal artery combined with an anterolateral thigh-free flap can effectively resolve most soft tissue deformities of Tessier number 10 cleft and reconstruct the orbital socket in a single surgery. At the same time, it augments the soft tissue of the frontotemporal area and provides good aesthetic results.
特西尔10号腭裂是最罕见的面部腭裂之一。由于眶周和颞部软组织畸形的复杂性，这类腭裂的手术治疗具有挑战性。一名23岁男性患者出现了典型的特西尔10号腭裂面部畸形。手术过程包括使用游离股前外侧皮瓣重建眼眶，同时使用颞浅动脉蒂头皮瓣修复眉部畸形。患者未出现并发症，术后16个月，患者获得了良好的美学效果。带颞浅动脉额支蒂的含毛发头皮瓣联合股前外侧游离皮瓣能够有效解决特西尔10号腭裂的大部分软组织畸形问题，并在一次手术中重建眼眶。同时，它增加了额颞部的软组织，提供了良好的美学效果。
