Transverse Facial Cleft, Tessier number 7: Case Report of a Rare Congenital Anomaly

Bilateral Transverse Facial Cleft


  • Beatrice Nkolika Ezenwa College of Medicine University of Lagos
  • Iretiola Bamikeolu Fajolu College of Medicine, University of Lagos
  • Pauline Kasarachi Akowundu Lagos University Teaching Hospital
  • Khadijah Oleolo-Ayodeji Lagos University Teaching Hospital
  • Olutayo James College of Medicine, University of Lagos
  • Veronica Chinyere Ezeaka College of Medicine, University of Lagos



Orofacial clefts, Congenital macrostomia, syndromic, newborn


Transverse facial cleft (TFC), Tessier number 7, is a rare congenital anomaly commonly associated with other anomalies of the first and second branchial arch with varying severity. Risk factors such as alcohol abuse, folic acid deficiency, and ingestion of herbal concoctions in pregnancy have been implicated in this deformity. We report a case of a bilateral transverse facial cleft in a newborn and review the existing literature on the condition to increase awareness and knowledge.


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Case Report