Facial cleft presenting as a congenital facial papule

Document Type

Journal Article

Publication Date

6-8-2022

Journal

Pediatric dermatology

DOI

10.1111/pde.15059

Keywords

congenital abnormalities; craniofacial abnormalities; dermatology; plastic; skin abnormalities; surgery

Abstract

Tessier number 3 craniofacial clefts are a rare congenital deformity of the oronasoocular region with variable severity, most often with serious impacts on appearance and function due to involvement of the bone and soft tissue. However, they can occasionally manifest mildly as a skin-colored congenital facial papule present with subtle anatomic anomalies and signs of deeper involvement, such as crusting and oozing. Recognizing that a congenital facial papule, including non-midline lesions, may be the presenting sign of an underlying developmental anomaly is important to avoid missing the diagnosis of a more extensive underlying congenital defect. We present a rare case of a forme fruste variant of a Tessier number 3 craniofacial cleft to raise awareness of its presentation and advise initial management in hopes of improving outcomes.

Department

Surgery

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