%0 Case Reports %T Unilateral Tessier 7 cleft: Case report of Z-plasty with geometric broken line repair and literature review. %A Schwartz C %A Philip S %A Idicula W %A Demke J %J Int J Pediatr Otorhinolaryngol %V 140 %N 0 %D Jan 2021 %M 33310448 %F 1.626 %R 10.1016/j.ijporl.2020.110546 %X Tessier 7 clefts are a rare congenital anomaly, usually surgically repaired with Z-plasty or other reconstructive methods, although undesirable scars may result. We present a review of the literature and a case of unilateral Tessier 7 cleft repaired with a novel reconstruction technique using a combined Z-plasty and geometric broken line closure (GBLC) to camouflage and irregularize the otherwise linear scar. We present this case to expand the armamentarium of surgical options to address Tessier 7 clefts and to review techniques for repair.