DR.DEEPSEKHAR DAS

Dr. NEELAM PUSHKER, Dr. MANDEEP SINGH BAJAJ, Dr.Rachna Meel

Abstract

Tessier craniofacial clefts are rare orbitocranial developmental anomalies. As there is a deficiency in literature regarding management options for Tessier orbito-cranial clefts from ophthalmological point of view. We reviewed patients who presented between 2017-2019 with orbito-facial clefts. We reclassified them and document the management performed.

A total of 17 cases fitting the Tessier craniofacial cleft classification were found. 10 had bilateral cranio-facial clefts. Tessier cleft 3 was the most common and all of them had medial canthal dystopia. 5 were associated with cleft palate. 7 have associated Telecanthus. One patient had heminasal aplasia and one had bilateral dacryocele.

The surgical procedure most commonly employed for were direct suturing and canthoplasty. Tessier cleft classifications aids in catergorizing orbitocranial cleft disorders which are surgically challenging situations. Proper surgical management procedure imparts good cosmetic results most of the time.