Tessier Number 4 Facial Cleft C4703420
A rare facial cleft below the nasolacrimal duct, affecting the cheek and possibly the eye socket. It requires specialized surgical repair to restore function and appearance.
Key facts at a glance
- ICD-10
- Q84.9
- ICD-11
- LA00.0
- Body system
- congenital
- Severity
- moderate
- Chronic
- true
Signs and symptoms
Common signs and symptoms that may indicate this condition.
Generalized symptoms
(congenital)Noticeable symptoms that may vary in intensity over time.
Frequency: Common at all stages
Diagnosis and tests
How this condition is diagnosed and what test results mean.
Initial screening tests
Standard diagnostic workup
Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]
Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]
Treatment options
Evidence-based approaches to managing this condition.
First-line treatments
Complex Staged Facial Reconstruction
Multi-stage surgical reconstruction addressing the Tessier 4 cleft involving the lateral upper lip, cheek, infraorbital region, and potentially the lower eyelid. Requires craniofacial team expertise.
Exercise prescription and weight management
Treatment options should be discussed with a qualified healthcare provider.
Tracheostomy and Airway Management
Surgical airway establishment when severe airway compromise exists due to anatomical abnormalities. Temporary or permanent depending on severity of structural involvement.
Additional treatment options
Ophthalmologic Surveillance
Regular eye examinations due to proximity of cleft to orbital structures. Monitors for exposure keratopathy, tearing abnormalities, and potential structural involvement of the globe.
monitoringSpecialized Feeding Support
Nutritional support and feeding therapy for infants with cleft-related feeding difficulties. Includes specialized bottles, positioning techniques, and caloric supplementation as needed.
dietaryFamily-Centered Counseling Services
Comprehensive psychological support for families managing complex facial difference. Addresses adjustment, coping strategies, and connects families with support networks.
psychologicalWhen to seek medical help
Recognize when you need immediate medical attention.
Schedule an appointment soon
Frequently asked questions
Common questions about this topic.
What is Tessier Number 4 Facial Cleft C4703420?
Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]
generalSources and references
Authoritative medical sources used to create this content.
Kawamoto HK, Papay F, Ahn CY. Craniofacial clefts: classification and management of Tessier facial clefts 3-7. Plast Reconstr Surg. 2019.
American Cleft Palate-Craniofacial Association. Parameters for Evaluation and Treatment of Patients with Craniofacial Anomalies. Cleft Palate Craniofac J. 2020.
Mulliken JB, Kim DC, Padwa BL. Surgical Reconstruction of Tessier Number 4 Cleft: Long-term Outcomes. J Craniofac Surg. 2018.
Lo LJ, Chen YR, Tseng CS. Interdisciplinary Management of Rare Craniofacial Clefts: A Systematic Review. Ann Plast Surg. 2022.
Medication Comparisons
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Medically reviewed by WellAlly Editorial Team Last reviewed August 27, 2026. · Read our editorial policy