Tessier type 3 facial clefts: A case report and literature review

ABSTRACT Introduction and importance: Tessier type 3 facial clefts are rare congenital anomalies that affect the lip, nose, and medial orbit. These clefts present significant functional and aesthetic challenges requiring a multidisciplinary approach. Case presentation: We report two cases of female infants with Tessier type 3 facial clefts. The first case involved bilateral cleft with oculo-palpebral anomalies, while the second case presented unilateral cleft associated with hydrocephalus and limb defects. Both cases underwent surgical correction using a modified Manchester technique, with individualized reconstructive strategies. Clinical discussion: These cases highlight the variable presentation of Tessier type 3 clefts and the challenges in surgical planning. A detailed description of preoperative care, imaging, and operative steps is provided. Improved facial symmetry and function were achieved. Conclusion: Early diagnosis, comprehensive neonatal care, individualized treatment planning, and long-term follow-up are critical in managing Tessier type 3 clefts. These cases contribute to the limited literature on this rare condition and highlight evolving surgical approaches. Highlights