Dr A Mistry's Clinic, Plastic and Reconstructive Surgery, Head and Neck Cancer, Oral and Maxillofacial Surgery

Head, Face Neck - Congenital


Conception of a child is said to be one of the most overwhelming experience for a mother. Unfortunately, this wasn't the case for NJ and her family. She was devastated on knowing that her child born with a massive deformity of the face.
Her plight of having given birth to a deformed child could not be overstated. After being turned down by many cleft centres, she had lost hope of any form of treatment till she visited us.
Here, her daughter, Z was diagnosed with a severe form of right sided Tessier cleft, 2-12 - unilateral hypertelorism, fronto-encephalocele, and cleft palate and microphthalmia (Figure 1, 2.1).
A staged treatment plan was laid down. At 1 year of age bony correction of the orbits and the calvarium was done (Fig . 2.2 - 2.4).
At 2.5 years of age the cleft palate and lip was repaired.
At 4 years reconstruction of the upper and lower eyelids and the medial canthus was done.

Tessier's Cleft 0

Bilateral Cleft Lip

Unilateral Cleft Lip

Lateral Cleft (Tessier's 7)

Oculo-Nasal Cleft