Atypical Craniofacial Tessier 3-4 Cleft: A Very Rare Congenital Complex Facial Cleft Type

Oblique and transverse craniofacial cleft are very infrequently encountered congenital anomaly. This complex craniofacial entity is mostly linked with developmental anomalies of the first and second branchial arches. The pathophysiology for this special cleft is still not well understood as opposed to the cleft lip and palate that is attributed to the failure of fusion of mesoderm. They are usually sporadic with no syndromic association or gender predilection. We intend to present one of such rare case of Tessier's cleft type 3- 4.

Key Words: facial cleft, malformations, Z-plasty