Tissiers's 0-14 Flefts

Abstract

Clefts on 0-14 axis of Tessier have two distinctly different presentations. With a hypoplastic presentation there is an involvement of the forebrain and as ‘face foretells the brain’ a severe hypoteloric appearance is always associated with severe brain damage and poor life expectancy. With hypertelorism however the spectrum of presentation may extend from the less severe hypertelorism alone to the most severe form of median cleft lip and palate, bifid nose and cranium bifidum accultum which are amenable to corrective craniofacial surgery.