Long-Term Functional and Aesthetic Outcomes of Bilateral Tessier No. 7 Cleft With Associated Anomalies: A Case Report With 20-Year Follow-up.

Authors

Munechika Ichikawa, Yukiko Rikimaru-Nishi, Hisashi Migita, Kou Ino, Keigo Morinaga, Kensuke Kiyokawa, Hideaki Rikimaru

Published in

The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association. Pages 10556656261489890. Sep 21, 2026. Epub Sep 21, 2026.

Abstract

We report the long-term functional and aesthetic outcomes of a male patient with bilateral severe Tessier no. 7 clefts associated with mandibular hypoplasia, cleft palate, right soft-palate hypoplasia, and congenital bilateral facial nerve palsy. The patient required enteral nutrition from birth because oral feeding was impossible. Through staged reconstruction, including oral floor muscle release, bilateral commissuroplasty, palatoplasty, pharyngeal flap surgery, tracheostomy, and later tracheostomy closure, he ultimately achieved full oral intake, phonation, and social adaptation in adulthood. This case highlights the importance of growth-adapted, multidisciplinary, long-term management for patients with severe bilateral Tessier no. 7 clefts.

PMID:
42765802
Bibliographic data and abstract were imported from PubMed on 21 Sep 2026.

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