Staged reconstruction of a Tessier number 4 facial cleft

الملخص EN

Tessier number 4 cleft is an extremely rare facial cleft.

We report a case of Tessier number 4 facial cleft recently managed in our center.

The approach to facial clefts is multi-disciplinary and may differ between centers.

Multiple surgical interventions are required as well as a good psychosocial support.

The child underwent a craniofacial reconstruction at 6 months of age, followed by a left macrostomia repair 9 months later and transcranial correction of the right orbital dystopia with eyelid reconstruction.