Asyndromic Bilateral Transverse Facial Cleft
An 8 months old female infant weighing 6.5 kg brought by her mother to the plastic surgery clinic of the University of Benin Teaching Hospital with complaint of her mouth being wider than normal since birth. A third child in a monogamous setting from Effurun, Delta State, Nigeria. No family history of similar condition. Her mother never smoked nor took alcohol neither was she on any known anticonvulsants; but ingested postinor several times while pregnant because pregnancy was unwanted for financial reasons. No other means of termination was attempted. Although there was no antenatal care, she was delivered by spontaneous vaginal delivery, cried immediately after birth and had normal developmental milestones. Family's source of drinking water was from an untreated borehole. She had no difficulty with feeding and was exclusively breastfed for 2 months.\nClose examination revealed a cheerful infant with bilateral transverse facial cleft, Tessiers no 7 also referred to as congenital macrostomia or commissural cleft [] which was more evident either on smiling or crying []. Thorough examination and investigation revealed neither associated congenital anomaly nor any coexisting medical illness. Repair by bilateral Z plasty was done by the plastic and burns unit.