Successful management of a case of Tessier's cleft number 0
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Facial cleft is the second most common congenital malformation of the entire body.Various classifications have been described with Tessier's being most popular.Tessier's number 0 and 14 constitute the midline cleft.Its association with encephalocoele and hypertelorism is very common. It is important for the anaesthesiologists to understand the complexity of surgery and that the main goal of early postnatal reconstruction is establishing proper airway.An 8-month-old female infant weighing 5 kg diagnosed with Tessier's cleft number 0 and 14 with frontal encephalocoele was posted for reconstruction surgery. The child belonged to ASA Class 1. She had hypertelorism, bifid nose and bifid upper lip with palate along with malrotated bilateral maxilloalveolar bony parts. Systemic examination and routine blood investigations were within normal limits. Computerised tomography scan of the infant revealed midline defect in maxilla, absent nasal bone and nasal septum with frontonasal encephalocoele...

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