scholarly journals Cleft Beyond the Lip and Palate: A Bilateral Tessier Cleft

2018 ◽  
Vol 33 (2) ◽  
pp. 56-59
Author(s):  
Laurice Ann B. Canta
Keyword(s):  
Soft Tissue ◽  
Classification System ◽  
Congenital Malformations ◽  
Orofacial Clefts ◽  
Facial Clefts ◽  
The Face

Oblique facial clefts (Tessier Clefts) are severe orofacial clefts beyond the lip and palate that count among the rare congenital malformations “with an incidence of 1.43 to 4.85 per 100,000 births.”1,2 The Tessier Classification System devised by Paul Tessier in 1976 assigned specific caudo-cranial numbers to clefts involving the “soft tissue and underlying bones of the mouth, maxilla, nose, eyes, and forehead” in relation to the sagittal midline of the face.1,3,4 The midline is designated 0 – 14, and adjacent clefts are numbered 1-13, 2-12 and so on, depending on the location and axis of the malformation. We present a patient with a bilateral Tessier 5 cleft.

The MCFONTZL Classification System for Soft-Tissue Injuries to the Face

1999 ◽  
Vol 103 (4) ◽  
pp. 1150-1157 ◽  
Author(s):  
Richard H. Lee ◽  
Wm. Bryan Gamble ◽  
Bradley Robertson ◽  
Paul N. Manson
Keyword(s):  
Soft Tissue ◽  
Classification System ◽  
Soft Tissue Injuries ◽  
The Face ◽  
Tissue Injuries

The MCFONTZL Classification System for Soft-Tissue Injuries to the Face

1999 ◽  
Vol 103 (4) ◽  
pp. 1150-1157 ◽  
Author(s):  
Richard H. Lee ◽  
Bryan Gamble ◽  
Bradley Robertson ◽  
Paul N. Manson
Keyword(s):  
Soft Tissue ◽  
Classification System ◽  
Soft Tissue Injuries ◽  
The Face ◽  
Tissue Injuries

Oblique Facial Clefts: A Report of Tessier Numbers 3, 4, 5, and 9 Clefts

1993 ◽  
Vol 30 (4) ◽  
pp. 414-415 ◽  
Author(s):  
Mohd Ashraf Darzi ◽  
Nisar Ahmad Chowdri
Keyword(s):  
Congenital Anomaly ◽  
Soft Tissue ◽  
Data Collection ◽  
Medical Community ◽  
Standard Methods ◽  
Facial Cleft ◽  
Facial Clefts ◽  
The Face ◽  
Great Advance

The oblique facial cleft is an extremely rare and disfiguring congenital anomaly of the face. Tessier (1990) proposed an anatomic classification of the facial, craniofacial, and laterofacial clefts that was a great advance in the study of these clefts. The clefts were found to occur with an incidence of 1.43 to 4.85 in 100,000 births (Kawamoto, 1976). The exact incidence of these unusual facial clefts is unknown, and estimates vary widely because of the rarity of their occurrence and the lack of standard methods of data collection. To adequately examine the occurrence of oblique clefts, the medical community must be aware of the problem, and new cases should be presented. On the basis of clinical, radiologic, and surgical examinations, soft tissue and skeletal disruptions of three patients with the most rare craniofacial clefts (Tessier 3, 4, 5, and 9) are presented.

Maxillofacial Bony Considerations in Facial Transplantation

2021 ◽  
Author(s):  
Aurora G. Vincent ◽  
Anne E. Gunter ◽  
Yadranko Ducic ◽  
Likith Reddy
Keyword(s):  
Soft Tissue ◽  
Current Literature ◽  
Preoperative Planning ◽  
Surgical Anatomy ◽  
The Past ◽  
Facial Transplantation ◽  
Tissue Transfer ◽  
Reconstructive Ladder ◽  
The Face ◽  
Facial Wounds

AbstractAlloplastic facial transplantation has become a new rung on the proverbial reconstructive ladder for severe facial wounds in the past couple of decades. Since the first transfer including bony components in 2006, numerous facial allotransplantations across many countries have been successfully performed, many incorporating multiple bony elements of the face. There are many unique considerations to facial transplantation of bone, however, beyond the considerations of simple soft tissue transfer. Herein, we review the current literature and considerations specific to bony facial transplantation focusing on the pertinent surgical anatomy, preoperative planning needs, intraoperative harvest and inset considerations, and postoperative protocols.

scholarly journals Esthetic Considerations in Orthodontics: An Overview

2021 ◽  
Author(s):  
Swati Singh ◽  
Litesh Singla ◽  
Tanya Anand
Keyword(s):  
Soft Tissue ◽  
Profile Analysis ◽  
Dental Occlusion ◽  
Facial Profile ◽  
Mandibular Plane ◽  
The Face ◽  
Facial Proportions ◽  
Posterior Position ◽  
Anterior Posterior ◽  
The Ideal

Abstract Esthetics has been an ever-evolving concept and has gained considerable importance in the field of orthodontics in the last few decades. The re-emergence of the soft tissue paradigm has further catapulted the interest of the orthodontist. So much so that achieving a harmonious profile and an esthetically pleasing smile has become the ideal goal of treatment and is no longer secondary to achieving a functional dental occlusion and/or a rigid adherence to skeletal and dental norms. Esthetics in the orthodontic sense can be divided into three categories: macroesthetics, miniesthetics, and microesthetics. Macroesthetics includes the evaluation of the face and involves frontal assessment and profile analysis. The frontal assessment involves assessment of facial proportions, while the profile analysis involves evaluation of anterior–posterior position of jaws, mandibular plane, and incisor prominence and lip posture. Miniesthetics involves study of the smile framework involving the vertical tooth–lip relationship, smile type, transverse dimensions of smile, smile arc, and midline. Microesthetics involves the assessment of tooth proportions, height-width relationships, connectors and embrasures, gingival contours and heights, and tooth shade and color. The harmony between these factors enables an orthodontist to achieve the idealized esthetic result and hence these parameters deserve due consideration. The importance placed on a pleasing profile cannot be undermined and the orthodontist should aim for a harmonious facial profile over rigid adherence to standard average cephalometric norms. This article aims to give an overview of the macro, mini, and microesthetic considerations in relation to orthodontic diagnosis and treatment planning.

Noma and Necrotizing Fasciitis of the Face and Neck

2021 ◽  
Author(s):  
Lauren E. Miller ◽  
David A. Shaye
Keyword(s):  
Soft Tissue ◽  
Necrotizing Fasciitis ◽  
Head And Neck ◽  
Subcutaneous Tissue ◽  
Neck Region ◽  
Superficial Fascia ◽  
Soft Tissue Infections ◽  
Head And Neck Region ◽  
Necrotizing Soft Tissue Infections ◽  
The Face

AbstractNecrotizing fasciitis (NF) is part of the class of necrotizing soft tissue infections characterized by rapid fascial spread and necrosis of the skin, subcutaneous tissue, and superficial fascia. If left untreated, NF can rapidly deteriorate into multiorgan shock and systemic failure. NF most commonly infects the trunk and lower extremities, although it can sometimes present in the head and neck region. This review provides an overview of NF as it relates specifically to the head and neck region, including its associated clinical features and options for treatment. Noma, a related but relatively unknown disease, is then described along with its relationship with severe poverty.

Rare Facial Clefts

2015 ◽  
Vol 87 (8) ◽  
Author(s):  
Marta Fijałkowska ◽  
Bogusław Antoszewski
Keyword(s):  
Surgical Treatment ◽  
Soft Tissue ◽  
Clinical Presentation ◽  
Treatment Plan ◽  
General Rule ◽  
Common Type ◽  
Facilitated Communication ◽  
Facial Clefts ◽  
Therapeutic Problem ◽  
Variable Clinical Presentation

AbstractIn 1976 Dr. Paul Tessier described numeric classification for rare craniofacial clefts. He first emphasized that a fissure of the soft tissue corresponds, as a general rule, to a cleft of the bony structure. The classification, easy to understand, became widely accepted because the recording of the malformations was simple and facilitated communication between observers.was to present our own experience with treatment of patients with rare facial clefts.Our Department has 11 patients with rare craniofacial clefts under its care. This group includes 8 boys and 3 girls. The patients aged from 2 months to 18 years at the time of the first consultation.In two patients the cleft was median, in seven patients it was one-sided and in two – bilateral. The most common type of cleft was number 6, and the rarest were 2, 3, and 7. All patients underwent surgical treatment.Atypical facial clefts are rare congenital anomalies, however because of functional and aesthetic disturbances they constitute a serious medical and therapeutic problem. Facial clefts are characterized by variable clinical presentation and require individualized treatment plan.

scholarly journals Chronic suppurative mandibular osteomyelitis presenting as soft tissue swelling and trismus: A case report

2013 ◽  
Vol 2 (2) ◽  
pp. 197-199
Author(s):  
K Ahmad ◽  
S Ansari ◽  
K Dhungel ◽  
MK Gupta ◽  
MF Amanullah ◽  
...  
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Clinical Symptom ◽  
Rare Condition ◽  
Medical Sciences ◽  
Lower Jaw ◽  
Soft Tissue Swelling ◽  
The Face ◽  
Fascial Spaces ◽  
Experience Pain

Osteomyelitis of the mandible is a rare condition and it could be a serious complication of untreated odontogenic infection. Classically, patient with osteomyelitis of the mandible would experience pain and swelling over the affected side of the face. CT is usually indicated when there is extension of the infection into the adjacent soft tissue and fascial spaces which could be the presenting clinical symptom. Hereby, we present a case of mandibular osteomyelitis in an 11 year old girl who presented with pain and swelling in left lower jaw followed by extraction of tooth, diagnosed on CT followed by surgical management. Nepal Journal of Medical Sciences | Volume 02 | Number 02 | July-December 2013 | Page 197-199  DOI: http://dx.doi.org/10.3126/njms.v2i2.8978  

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