Bilateral Maxillary Duplication in Tessier No. 7 Cleft: An Uncommon Congenital Deformity with a Challenging Radiological Diagnosis
Tessier No. 7 cleft, known as lateral facial cleft, is a rare and understudied entity with an incidence of 1/80,000–1/300,000 live births. Besides perioral tissue abnormalities manifesting as macrostomia, Tessier 7 cleft also involves anomalies of the underlying bony structures. It can appear as par...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2024-03-01
|
| Series: | Diagnostics |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2075-4418/14/7/714 |
| _version_ | 1797212766480629760 |
|---|---|
| author | Svetlana Antic Djurdja Bracanovic Aleksa Janovic Goran Krstic Djordje Plavsic Biljana Markovic Vasiljkovic |
| author_facet | Svetlana Antic Djurdja Bracanovic Aleksa Janovic Goran Krstic Djordje Plavsic Biljana Markovic Vasiljkovic |
| author_sort | Svetlana Antic |
| collection | DOAJ |
| description | Tessier No. 7 cleft, known as lateral facial cleft, is a rare and understudied entity with an incidence of 1/80,000–1/300,000 live births. Besides perioral tissue abnormalities manifesting as macrostomia, Tessier 7 cleft also involves anomalies of the underlying bony structures. It can appear as part of a syndrome, such as Treacher-Collins syndrome or Goldenhar/Orbito-Auriculo-Vestibular Spectrum, or as an isolated form (unilateral or bilateral) with variable expressions. Bilateral maxillary duplication in Tessier 7 cleft is considered extremely rare, accounting for only two previously presented cases. Given that the cases presented in the literature mainly focus on clinical appearance and surgical treatment, without providing sufficient imaging, we aim to present key radiological features of Tessier 7 cleft in terms of evaluating the involved structures, which is essential for the therapeutic approach and final outcome. A 17-year-old male with incompetent lips and orthodontic abnormalities was referred to our Radiology Department for orthopantomography (OPG) and CT examinations. Hetero-anamnestic data revealed a history of surgical treatment of the commissural cleft conducted 2 months after the birth to enable feeding. Intraoral examination showed a maxillary cleft and supernumerary teeth. Since the given clinical presentation was inconclusive, radiological diagnostics took precedence in elucidating this complex entity. |
| first_indexed | 2024-04-24T10:47:36Z |
| format | Article |
| id | doaj.art-3ed1f452ae86487180d58394fa680e24 |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-04-24T10:47:36Z |
| publishDate | 2024-03-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-3ed1f452ae86487180d58394fa680e242024-04-12T13:16:46ZengMDPI AGDiagnostics2075-44182024-03-0114771410.3390/diagnostics14070714Bilateral Maxillary Duplication in Tessier No. 7 Cleft: An Uncommon Congenital Deformity with a Challenging Radiological DiagnosisSvetlana Antic0Djurdja Bracanovic1Aleksa Janovic2Goran Krstic3Djordje Plavsic4Biljana Markovic Vasiljkovic5Center for Radiological Diagnostics, School of Dental Medicine, University of Belgrade, 11000 Belgrade, SerbiaCenter for Radiological Diagnostics, School of Dental Medicine, University of Belgrade, 11000 Belgrade, SerbiaCenter for Radiological Diagnostics, School of Dental Medicine, University of Belgrade, 11000 Belgrade, SerbiaCenter for Radiological Diagnostics, School of Dental Medicine, University of Belgrade, 11000 Belgrade, SerbiaCenter for Radiological Diagnostics, School of Dental Medicine, University of Belgrade, 11000 Belgrade, SerbiaCenter for Radiological Diagnostics, School of Dental Medicine, University of Belgrade, 11000 Belgrade, SerbiaTessier No. 7 cleft, known as lateral facial cleft, is a rare and understudied entity with an incidence of 1/80,000–1/300,000 live births. Besides perioral tissue abnormalities manifesting as macrostomia, Tessier 7 cleft also involves anomalies of the underlying bony structures. It can appear as part of a syndrome, such as Treacher-Collins syndrome or Goldenhar/Orbito-Auriculo-Vestibular Spectrum, or as an isolated form (unilateral or bilateral) with variable expressions. Bilateral maxillary duplication in Tessier 7 cleft is considered extremely rare, accounting for only two previously presented cases. Given that the cases presented in the literature mainly focus on clinical appearance and surgical treatment, without providing sufficient imaging, we aim to present key radiological features of Tessier 7 cleft in terms of evaluating the involved structures, which is essential for the therapeutic approach and final outcome. A 17-year-old male with incompetent lips and orthodontic abnormalities was referred to our Radiology Department for orthopantomography (OPG) and CT examinations. Hetero-anamnestic data revealed a history of surgical treatment of the commissural cleft conducted 2 months after the birth to enable feeding. Intraoral examination showed a maxillary cleft and supernumerary teeth. Since the given clinical presentation was inconclusive, radiological diagnostics took precedence in elucidating this complex entity.https://www.mdpi.com/2075-4418/14/7/714maxillary duplicationTessier 7 cleftOPGCTcongenital deformity |
| spellingShingle | Svetlana Antic Djurdja Bracanovic Aleksa Janovic Goran Krstic Djordje Plavsic Biljana Markovic Vasiljkovic Bilateral Maxillary Duplication in Tessier No. 7 Cleft: An Uncommon Congenital Deformity with a Challenging Radiological Diagnosis Diagnostics maxillary duplication Tessier 7 cleft OPG CT congenital deformity |
| title | Bilateral Maxillary Duplication in Tessier No. 7 Cleft: An Uncommon Congenital Deformity with a Challenging Radiological Diagnosis |
| title_full | Bilateral Maxillary Duplication in Tessier No. 7 Cleft: An Uncommon Congenital Deformity with a Challenging Radiological Diagnosis |
| title_fullStr | Bilateral Maxillary Duplication in Tessier No. 7 Cleft: An Uncommon Congenital Deformity with a Challenging Radiological Diagnosis |
| title_full_unstemmed | Bilateral Maxillary Duplication in Tessier No. 7 Cleft: An Uncommon Congenital Deformity with a Challenging Radiological Diagnosis |
| title_short | Bilateral Maxillary Duplication in Tessier No. 7 Cleft: An Uncommon Congenital Deformity with a Challenging Radiological Diagnosis |
| title_sort | bilateral maxillary duplication in tessier no 7 cleft an uncommon congenital deformity with a challenging radiological diagnosis |
| topic | maxillary duplication Tessier 7 cleft OPG CT congenital deformity |
| url | https://www.mdpi.com/2075-4418/14/7/714 |
| work_keys_str_mv | AT svetlanaantic bilateralmaxillaryduplicationintessierno7cleftanuncommoncongenitaldeformitywithachallengingradiologicaldiagnosis AT djurdjabracanovic bilateralmaxillaryduplicationintessierno7cleftanuncommoncongenitaldeformitywithachallengingradiologicaldiagnosis AT aleksajanovic bilateralmaxillaryduplicationintessierno7cleftanuncommoncongenitaldeformitywithachallengingradiologicaldiagnosis AT gorankrstic bilateralmaxillaryduplicationintessierno7cleftanuncommoncongenitaldeformitywithachallengingradiologicaldiagnosis AT djordjeplavsic bilateralmaxillaryduplicationintessierno7cleftanuncommoncongenitaldeformitywithachallengingradiologicaldiagnosis AT biljanamarkovicvasiljkovic bilateralmaxillaryduplicationintessierno7cleftanuncommoncongenitaldeformitywithachallengingradiologicaldiagnosis |