Bilateral Choanal Atresia with Tessier Type 3 Facial Cleft: A Rare Association

Five-day-old male neonate born to non-consanguineous parents by normal vaginal delivery was presented with deformity of lip, face and eyelid on the right side, and cyanosis. The cyanosis had improved soon after endotracheal intubation. Examination revealed deformity of upper lip, upper jaw and lower eyelid of right eye; this type of craniofacial cleft is called as Tessier type 3 (Fig. 1). There was associated bilateral choanal atresia. The baby accidently self-extubated himself after 2 days, but could maintain thereafter with oxygen administration through hood. We plan to manage choanal atresia endoscopically at least on one side first before undertaking the reconstruction of the facial cleft part.