Schlenker J D, Ricketson G, Lynch J B
Plast Reconstr Surg. 1979 May;63(5):680-8. doi: 10.1097/00006534-197905000-00012.
We believe the Tessier classification system facilitates the description of complicated facial clefts, and we describe its use in 4 cases--all of whom had variations of a Tessier-3 cleft. Microphthalmia is associated with the Tessier-3 cleft. Computerized axial tomography may be helpful in differentiating an extreme microphthalmia from a true anophthalmia, and in detecting bony clefts not seen on roentgenographic studies. Facial tomograms show that abnormalities of the medial wall of the orbit in the Tessier-3 cleft vary from actual clefts to widening of the ethmoid. In our experience (with 4 patients) mental retardation does not necessarily occur in patients with the Tessier-3 cleft and extreme microphthalmia. Abnormalities of the nasolacrimal apparatus may be the most constant finding in patients with the Tessier-3 cleft. Children with the Tessier-3 cleft should be identified early for purposes of determining the proper treatment and valid genetic counseling.
我们认为，泰西埃分类系统有助于描述复杂的面部裂隙，我们在此描述该系统在4例病例中的应用——所有病例均为泰西埃3号裂隙的变异型。小眼畸形与泰西埃3号裂隙相关。计算机断层扫描有助于鉴别极重度小眼畸形与真性无眼畸形，并能检测出X线检查未发现的骨裂隙。面部断层片显示，泰西埃3号裂隙中眼眶内侧壁的异常情况从实际裂隙到筛骨增宽不等。根据我们（4例患者）的经验，泰西埃3号裂隙合并极重度小眼畸形的患者不一定会出现智力发育迟缓。鼻泪器异常可能是泰西埃3号裂隙患者最常见的表现。为了确定合适的治疗方法并提供有效的遗传咨询，应尽早识别出患有泰西埃3号裂隙的儿童。
