{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T22:39:43Z","timestamp":1782513583209,"version":"3.54.5"},"reference-count":62,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2022,3,14]],"date-time":"2022-03-14T00:00:00Z","timestamp":1647216000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To fix a gray zone left in Tessier's classification of rare clefts with cleft 6 and to give a more comprehensive description of cleft 6 anatomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>The material used for the research was a series of 26 clinical cases of patients with assessed cleft 6 and 44 cases found out of a literature review with enough data to be useful. The 70 cases were cross-examined by the authors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Setting<\/jats:title>\n                    <jats:p>The authors are senior craniofacial surgeons working in high-case load department from university centers where the patients are documented and receive primary as well as secondary treatment and follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients<\/jats:title>\n                    <jats:p>The patients were selected out of the series of craniofacial deformities taken care of by the authors\u2019 department as rare clefts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome<\/jats:title>\n                    <jats:p>We describe the full spectrum of cleft 6 as an autonomous entity that could present itself in three subtypes: 6a is the most proximal and could be associated with cleft 8. The subtype 6b is medial toward the zygomatic arch and frequently associated with a bone and teeth appendage (frequently described as a \u201cmaxillary duplication\u201d). The subtype 6C goes toward the external ear between the helix crus and the auditory meatus.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The Tessier's opinion is that Treacher Collins syndrome was the association of clefts 6, 7, and 8 and is no longer sustainable in the light of modern genetics. Most of the cleft 6 are misdiagnosed in the literature.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10556656221086459","type":"journal-article","created":{"date-parts":[[2022,3,14]],"date-time":"2022-03-14T07:38:22Z","timestamp":1647243502000},"page":"938-948","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Tessier's Cleft Number 6 Revisited: A Series of 26 new Cases and Literature Review of 44"],"prefix":"10.1177","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9131-9409","authenticated-orcid":false,"given":"Philippe","family":"Pellerin","sequence":"first","affiliation":[{"name":"Lille University Hospital, Lille, Lambersart, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0881-416X","authenticated-orcid":false,"given":"Cristiano","family":"Tonello","sequence":"additional","affiliation":[{"name":"Cirurgia Craniofacial HRAC-USP, Curso de Medicina, da Universidade de S\u00e3o Paulo, Bauru, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8156-9922","authenticated-orcid":false,"given":"Renato","family":"da Silva Freitas","sequence":"additional","affiliation":[{"name":"Universidade Federal do Parana, Curitiba, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao Jun","family":"Tang","sequence":"additional","affiliation":[{"name":"Plastic Surgery Hospital of Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nivaldo","family":"Alonso","sequence":"additional","affiliation":[{"name":"Cirurgia Craniofacial HRAC-USP, Curso de Medicina, da Universidade de S\u00e3o Paulo, Bauru, 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