The “Double” Tessier 7 Cleft: An Unusual Presentation of a Transverse Facial Cleft

Abstract

Congenital macrostomia, or Tessier number 7 cleft, is a rare craniofacial anomaly. We present a unique patient with bilateral macrostomia that consisted of a “double” transverse cleft on the left side and a single transverse cleft on the right side. A staged reconstructive approach was used to repair the “double” left-sided clefts. This staged technique produced a satisfactory aesthetic and functional outcome.

Keywords

macrostomia Tessier 7 cleft lateral facial cleft transverse facial cleft reconstruction commissuroplasty

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