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All Journal International Journal of Public Health Science (IJPHS) Berkala Kedokteran JMM (Jurnal Masyarakat Mandiri) Indonesian Journal of Medicine Jurnal Pengabdian Masyarakat IPTEKS Medica Arteriana (Med-Art) Science Midwifery MAHESA : Malahayati Health Student Journal Prosiding Seminar Nasional Program Pengabdian Masyarakat
Amsriza, Fadli Robby
Fakultas Kedokteran Dan Ilmu Kesehatan Universitas Muhammadiyah, Yogyakarta
Religion Agriculture, Biological Sciences & Forestry Humanities Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Dentistry Economics, Econometrics & Finance Health Professions Immunology & microbiology Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary Other

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Unilateral Left-Sided Tessier Type 4 Facial Cleft in a 6-Mont-Old Infant: A Case Report with Surgical Reconstruction and Outcome Fadli Robby Amsriza; Rizka Fakhriani
Indonesian Journal of Medicine Vol.11 No.2 (2026)
Publisher : Masters Program in Public Health, Sebelas Maret University

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/theijmed.2026.11.2.952

Abstract

Background: Cleft Tessier is the most complex classification characterized by oro-orbital malformations with a transverse defect in the mouth extending to the nose and crossing to the lower eyelids. Recent research shows a lack of optimal reconstruction techniques, both surgical methodology and procedural. This case report aims to describe the clinical presentation, surgical reconstruction methodology, and outcomes in a 6-month-old baby with a left unilateral Tessier type 4 facial cleft. Subject and Methods: A 6-month-old female newborn appears with a congenital left unilateral facial cleft that has existed since birth.  Ocular examination showed partial involvement of the lower eyelid with a risk of exposure, while the eyeball was intact. Tessier type 4 cleft arises from failure of fusion between the maxillary and lateral nasal prominences during embryogenesis. Results: Surgical management focuses on restoring both function particularly ocular protection and oral competence and facial aesthetics. Early intervention during infancy offers advantages such as improved tissue healing, better adaptation to facial growth, and reduced psychosocial impact. The reconstruction results achieved good initial functional and esthetic outcomes. Further monitoring during the growth period is necessary to assess facial asymmetry and hyperpigmentation that may occur. Conclusion: Infant reconstruction can yield better esthetics and function, although monitoring and follow-up actions are necessary.  
Co-Authors Ambar Relawati, Ambar Anggraeni, Meika Kurnia Puji Rahayu Dyah Asti Widuri, Asti Batrisyia, Irdhina Putri Daniswara, Deoni Firmansyah, Mu’ammar Raihan Rintan Nuzul Ainy Rizka Fakhriani