Our Summary

Tessier 7 clefts are a rare birth defect that are usually fixed through surgical methods like Z-plasty. However, these methods can leave noticeable scars. This paper discusses a new technique for repairing Tessier 7 clefts. This method merges Z-plasty with a method called geometric broken line closure (GBLC) to mask and break up the scar that would otherwise be straight. The authors share this information to expand the list of surgical options available for treating Tessier 7 clefts and to discuss how to repair them.

FAQs

  1. What are Tessier 7 clefts and how are they usually treated?
  2. What is the new technique described in the paper for repairing Tessier 7 clefts?
  3. How does the combination of Z-plasty and geometric broken line closure (GBLC) work to minimize scarring?

Doctor’s Tip

A helpful tip a doctor might tell a patient about Z-plasty is to follow post-operative care instructions carefully to ensure proper healing and minimize scarring. This may include keeping the surgical site clean and dry, avoiding excessive stretching or movement of the area, and applying any prescribed ointments or dressings as directed. Additionally, patients should follow up with their doctor for regular check-ups to monitor healing progress and address any concerns.

Suitable For

Patients with Tessier 7 clefts, or similar facial deformities, are typically recommended for Z-plasty. Z-plasty is a surgical technique used to improve the appearance of scars and to release tight scar tissue. It is often recommended for patients with scars that are causing functional or cosmetic issues, such as restricting movement or causing self-esteem issues. In the case of Tessier 7 clefts, Z-plasty can help to improve the symmetry and aesthetic appearance of the face.

Timeline

Before Z-plasty:

  1. Patient is diagnosed with Tessier 7 clefts, a rare birth defect affecting the face.
  2. Patient undergoes consultation with a plastic surgeon to discuss treatment options.
  3. Surgical plan is developed, which may include Z-plasty to repair the cleft and improve facial symmetry.

After Z-plasty:

  1. Patient undergoes Z-plasty surgery to repair the Tessier 7 clefts.
  2. The wound heals over a period of several weeks, with regular follow-up appointments with the surgeon to monitor progress.
  3. As the scar matures, the geometric broken line closure technique is used to break up and camouflage the scar, resulting in a more natural and less noticeable appearance.
  4. Patient may undergo additional procedures or treatments to further improve the appearance of the scar and optimize facial aesthetics.

What to Ask Your Doctor

  1. What is Z-plasty and how does it differ from other surgical techniques for repairing Tessier 7 clefts?
  2. What are the potential risks and complications associated with Z-plasty surgery?
  3. How long is the recovery process after Z-plasty surgery and what can I expect in terms of scarring?
  4. Are there any alternative treatments or techniques that could be used to repair Tessier 7 clefts?
  5. How many Z-plasty procedures have you performed for Tessier 7 clefts and what is your success rate?
  6. Can you provide before and after photos of previous patients who have undergone Z-plasty for Tessier 7 cleft repair?
  7. What post-operative care will be required following Z-plasty surgery?
  8. How soon after surgery can I expect to see the final results of the Z-plasty procedure?
  9. Are there any limitations or restrictions on activities that I should be aware of after Z-plasty surgery?
  10. What are the long-term outcomes and potential need for additional surgeries or revisions following Z-plasty for Tessier 7 cleft repair?

Reference

Authors: Schwartz C, Philip S, Idicula W, Demke J. Journal: Int J Pediatr Otorhinolaryngol. 2021 Jan;140:110546. doi: 10.1016/j.ijporl.2020.110546. Epub 2020 Dec 3. PMID: 33310448