Eur J Plast Surg (2002) 25:339–340 DOI 10.1007/s00238-002-0418-0 LETTER T O THE EDIT OR Mukund Jagannathan · Manohar Vellury Sunita More · Milind Wagh “A forme fruste of a forme fruste”: the most minimal expression of a cleft? Received: 19 August 2002 / Accepted: 20 August 2002 / Published online: 21 September 2002 © Springer-Verlag 2002 Sir, We had occasion to treat a 5-year-old boy, who had a wide cleft of the secondary palate (Fig. 1). On examina- tion, he had a linear streak, extending from the middle of the left ala, running along the side of the nose, to the naso-orbital region (Fig. 2). In addition, he had bilateral symmetrical malposition of the lateral incisors (Fig. 4). The child had corrective surgery for the palate, but since the rest of the findings were incidental, no further inves- tigations were performed. The parents refused computed tomography as well as a biopsy of the lesion. The typical cleft (the existence of which as a separate entity has been questioned by Tessier; see ) is de- scribed as starting from the middle third of the ala on the affected side. The cleft proceeds northbound, to the naso-orbital valley, and is associated
European Journal of Plastic Surgery – Springer Journals
Published: Dec 21, 2002
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