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We report a case of a median mandibular cleft within the context of a Tessier 0-14 axis that we have followed over a 5-year period without surgical\/orthodontic intervention. The mandibular symphysis cleft remained open without evidence of the fusion, in contrast to ossification of the metopic dysraphism. Within this context, we present a review of the median mandibular cleft cases from 1819 to 2015.<\/jats:p>","DOI":"10.1177\/1055665618756073","type":"journal-article","created":{"date-parts":[[2018,4,17]],"date-time":"2018-04-17T19:04:26Z","timestamp":1523991866000},"page":"778-786","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["The Median Mandibular Symphysis Tessier 30 Cleft:"],"prefix":"10.1177","volume":"55","author":[{"given":"Siddharth","family":"Mahajan","sequence":"first","affiliation":[{"name":"Division of Plastic Surgery, The Craniofacial Center, University of Illinois at Chicago, Chicago, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pravin K.","family":"Patel","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, The Craniofacial Center, University of Illinois at Chicago, Chicago, IL, 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