Bilateral Tessier No. 9 cleft.

The authors describe a patient with bilateral Tessier no. 9 cleft. This is the rarest of the rare craniofacial clefts. It is an upper lateral orbital cleft with a soft-tissue deformity that extends from the lateral third of the upper eyelid, through the lateral end of the eyebrow to the temporal scalp. The bony disruption extends from the superolateral orbital rim across the greater wing of the sphenoid to the upper squamous temporal area. The clinical and radiological examinations are reported. No surgical correction was necessary.