Abstract
The Tessier Number 4 cleft is one of the rarest, most complex craniofacial anomalies that presents difficulties in surgical treatment. In this article, we report a case of simultaneous facial depression, eye displacement, and medial canthus deformity. In this case, the maxillary bony defect was reconstructed using computer-assisted design computer-assisted manufacturing (CAD-CAM) polyether-ether-ketone (PEEK) material, and the orbital floor defect was repaired with AO prefabricated titanium mesh. Additionally, the medial canthus was modified with canthopexy and a single Z-plasty flap. Owing to its relative rarity and varied clinical presentations, no definitive operative methods have been accepted for Tessier No. 4 facial cleft. This study presents the combination of CAD-CAM manufactured PEEK material and titanium mesh as an alternative approach for reconstructing the bony defect of Tessier No. 4 facial clefts.
References
Jun 1, 1976·Journal of Maxillofacial Surgery·P Tessier
Jun 1, 1990·Plastic and Reconstructive Surgery·J I Resnick, H K Kawamoto
May 1, 1990·British Journal of Plastic Surgery·K Boo-Chai
Aug 1, 1985·Plastic and Reconstructive Surgery·J C van der Meulen
Oct 1, 1970·British Journal of Plastic Surgery·K Boo-Chai
Sep 1, 1982·Plastic and Reconstructive Surgery·S W RosensteinB S Bauer
May 1, 1997·Plastic and Reconstructive Surgery·M T LongakerH K Kawamoto
Mar 17, 1999·Plastic and Reconstructive Surgery·R M MenardD J David
Sep 28, 1999·The Cleft Palate-craniofacial Journal : Official Publication of the American Cleft Palate-Craniofacial Association·T LevittC A Trotman
Apr 20, 2001·Journal of Maxillofacial Surgery·Johannes J. Kuttenberger, Nicolas Hardt
Jul 24, 2001·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·J J Kuttenberger, N Hardt
Jun 27, 2003·The Journal of Craniofacial Surgery·Alper SariOsman Latifoglu
Aug 10, 2007·Biomaterials·Steven M Kurtz, John N Devine
Oct 31, 2008·Plastic and Reconstructive Surgery·Nivaldo AlonsoAndre Ricardo Dall'oglio Tolazzi
Jul 28, 2011·Facial Plastic Surgery : FPS·Kelli RudmanJohn Rhee
Jan 20, 2012·Aesthetic Plastic Surgery·Paolo Scolozzi
Jun 12, 2012·Aesthetic Plastic Surgery·Igor Niechajev
Jun 1, 2009·Journal of Maxillofacial and Oral Surgery·N N Andrade, Kanchan Raikwar
May 22, 2013·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·F JalbertR Lopez
Mar 14, 2014·Craniomaxillofacial Trauma & Reconstruction·Paolo BoffanoGuglielmo Ramieri
Jun 24, 2016·Medicine·Xuefei SongZhengkang Li
Dec 23, 2016·The Journal of Craniofacial Surgery·Seyed Nejat HosseiniAfshin Zahedi
Dec 23, 2016·The Journal of Craniofacial Surgery·Ugur HorozShinya Yoshimoto