Bilateral Cheilorhinoplasty Techniques May Be Applied to an Incomplete Rare Facial Cleft: Case Report and Literature Review

Summary: Tessier 0, or midline facial clefts, is one of the most common presentations among craniofacial clefts; however, there may be a diverse severity in presentations. This report applies established methods in bilateral lip repair to an incomplete Tessier 0 presentation. The report reviews literature available on midline facial clefts and contrasts the proposed application with a single straight-line repair. Tessier 0 clefts are rare, with an estimated incidence ranging from 1.4 to 4.9 per 100,000 live births. About 80 cases have been described in the literature; however, these may be underreported. Standard bilateral cheilorhinoplasty techniques previously described may be used for these relatively rare cases. The application of established methods for bilateral cleft lip/nose primary care may be performed for variants of rare facial clefting.