Tessier number 30

ABSTRACT

Group 30 cleft of Tessier classification of craniofacial clefts is supposedly one of the rarest clefts seen. This case presented in a most interesting and bizarre fashion - a neck swelling becoming prominent on coughing. The associated finding was even more amazing and rare - a congenital foregut duplication cyst in the neck. We proceed to discuss the rarity of such a case and the possibility of this being one of first few of its kind.

KEY WORDS

Median mandibular cleft - midline facial cleft - Tessier Group 30 cleft

• 1 Monroe CW. Midline cleft of lower lip, mandible and tongue with flexion contracture of neck: Case report and review of literature. Plast reconstr Surg J 1966; 38: 312-8
• 2 Oostrom CA, Vermeij-Keers C, Gilbert PM, van der Meulen JC. Median cleft of the lower lip and mandible: Case reports, a new embryologic hypothesis and subdivision. Plast Reconstr Surg 1996; 97: 313-20
• 3 Ishii M, Ishii Y, Moiyama T, Enomoto S, Ono T, Ohyama K. etal Seventeen year follow up of patient with median cleft of the lower lip, mandible and tongue with flexion contracture: A case report. Cleft Palate Craniofac J 2002; 39: 555-9
• 4 Henry K., Kawamato Jr. Rare craniofacial clefts. In McCarthy M. J. Plastic Surgery. WB Saunders Company; 1990
• 5 Armstrong AP, Waterhouse N. Tessier 30 median mandibular cleft:Case report and literature review. Br J Plast Surg 1996; 49:: 536-8
• 6 Laraja RD, Rothenberg RE, Chapman J, Imran-ul-Haq I, Sabalini MT. Foregut duplication cyst: A report of a case. Am Surg 1995; 61: 840-1
• 7 Edwards J, Pearson S, Zalzal G. Foregut duplication cyst of the hypopharynx. Arch Otolaryngol Head Neck Surg 2005; 131: 1112-5
• 8 Stringer MD, Spitz L, Abel R, Kiely E, Drake DP, Agrawal M. etal Management of alimentary tract duplication in children. Br J Surg 1995; 82: 74-8
• 9 Geller A, Wang KK, DiMango EP. Diagnosis of foregut duplication cysts by endoscopic ultrasonography. Gastroenterology 1995; 109: 838-42