Done by: Dr.Mohammed M. Alkulaibi Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Sana’a University, Sana’a, Yemen - Karam A. Allam Sohag Cleft-Craniofacial Unit, Plastic Surgery Department, Sohag University, Egypt.

Abstract

The Tessier cleft, number 3 is one of the rarest congenital anomalies and displaying the most destructive craniofacial clefts. It often extends from the upper lip superiorly through the alar groove and nasolacrimal duct to the medial canthus. It presents surgeons with a difficult task for reconstruction and to obtain an acceptable outcome is difficult. Only a few cases have been reported in the literature and there is no standardized method for the surgical treatment. We present two patients with this rare cleft focusing particularly on describing the surgical procedures and techniques. Further treatments needed for the cleft-associated deformities throughout later growth also are discussed in detail.