Abstract

Background: Median cleft of mandible and lower lip is a rare anomaly [1]. Only a few cases have been reported in literature with different variations till now. Herein we report a patient with Tessier 30 cleft associated with complete duplication of tongue. Aim: We herein report this rare variant as it posed special challenges for its management by virtue of its uniqueness, late presentation and limited affordability of patient for standard treatment. Case Report: A 12 years old female reported to us with a chief complaint of a midline gap in the lower lip and mandible since birth. On examination under anaesthesia, we found that tongue was not bifid. There was complete duplication of the tongue. The case was planned for staged repair of the defect. In the same sitting, a repair of the soft tissues in the midline was performed. Conclusion: There are no specific guidelines in literature for management of such cases. This makes all these cases worth for reporting in order to guide treating surgeons.

Highlights

  • Median cleft of mandible and lower lip is a rare anomaly [1]

  • Tessier published a detailed description of the classification of craniofacial clefts in 1976 [2]

  • We report a patient with Tessier 30 cleft associated with complete duplication of tongue

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Summary

Introduction

Median cleft of mandible and lower lip is a rare anomaly [1]. Tessier published a detailed description of the classification of craniofacial clefts in 1976 [2]. Further there is a continued restricted growth of affected tissues after birth. The deformities at birth can become more obvious over the years. How to cite this paper: Tapadar, J. and Tiwari, P. (2015) Tessier 30 Facial Cleft Associated with Complete Duplication of Tongue: A Rare Entity. Tiwari underdevelopment of hard and soft tissues of the orbit, maxilla, zygoma, nose and malar region. Couronne in 1819, first reported a case of midline mandibular cleft. Since 66 cases have been reported worldwide till 2007 [3]. A few cases have been reported in literature with different variations till now. We report a patient with Tessier 30 cleft associated with complete duplication of tongue

Case Report
Discussion
Conclusion

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