Abstract
Oblique facial cleft is quite a rare disease. It is extremely rare for two types of oblique facial clefts to occur simultaneously on the same side, and there are few reports detailing surgical treatments for such cases. Here, we report a case in which we performed one-stage facial repair on a patient with Treacher Collins syndrome (TCS), who had two left-sided oblique facial clefts. A female child born at another hospital was diagnosed with TCS based on her characteristic facial features and choanal atresia. After performing a tracheotomy for persistent respiratory distress, she was transferred to our center at six months of age. She had Tessier No. 3 and No. 5 facial clefts on the left side, and we conducted simultaneous surgery at nine months of age. A combination of midfacial advancement technique and straight line technique was applied for the No. 3 cleft, then we repaired the No. 5 cleft using the Matsuya method involving a Z-plasty. Favorable lip and nose shape was achieved six years after the surgery.
