Objective: Transverse facial cleft is one of the atypical form of clefts which involves others structures developed from first and second brianchial arches.
The estimated occurrence varies from 1 in 100 to 1 in 300 of all facial clefts. This case was analysed on the basis of analysed, grading and associated
anomalies. Studies have shown that the reasons for late diagnosis, poverty, lack of awareness, fear of treatment are possible causes for late treatment.
Application of z plasty technique in the skin and subcutaneous tissue are important manoeuvres for improving the surgical results.