Tessier Classification Research Articles

Nasal clefts.

Our 20-year experience with the treatment of 154 nasal clefts corresponding to numbers 1, 2, 3, and 0 of Tessier's classification is presented. The different varieties of each type of cleft are discussed, and the clinical features and therapeutic problems of each are described. The various operative procedures used in the last two decades are analyzed, and we evaluate the long-term evolution in relation to the aesthetic results and facial growth. Our present criteria for treatment are presented.

Classification of Oblique Facial Clefts with Microphthalmia

We believe the Tessier classification system facilitates the description of complicated facial clefts, and we describe its use in 4 cases--all of whom had variations of a Tessier-3 cleft. Microphthalmia is associated with the Tessier-3 cleft. Computerized axial tomography may be helpful in differentiating an extreme microphthalmia from a true anophthalmia, and in detecting bony clefts not seen on roentgenographic studies. Facial tomograms show that abnormalities of the medial wall of the orbit in the Tessier-3 cleft vary from actual clefts to widening of the ethmoid. In our experience (with 4 patients) mental retardation does not necessarily occur in patients with the Tessier-3 cleft and extreme microphthalmia. Abnormalities of the nasolacrimal apparatus may be the most constant finding in patients with the Tessier-3 cleft. Children with the Tessier-3 cleft should be identified early for purposes of determining the proper treatment and valid genetic counseling.