Median Cleft of the Lip: Its Significance and Surgical Repair
1993; SAGE Publishing; Volume: 30; Issue: 1 Linguagem: Inglês
10.1597/1545-1569_1993_030_0094_mcotli_2.3.co_2
ISSN1545-1569
AutoresJames Apesos, Gregg M. Anigian,
Tópico(s)Congenital limb and hand anomalies
ResumoMedian cleft lip is a midline vertical cleft through the upper lip in the absence of a prolabial remnant. This may occur as a sporadic event or be part of an inherited sequence of anomalies. A failure of formation or fusion of the medial nasal prominences derived from the frontonasal prominence is ultimately responsible for this aberration. Two categories of dysplasia are associated: (1) frontonasal deformity associated with hypotelorism and (2) median facial cleft syndrome associated with hypertelorism. A patient presents with median cleft lip, mild bifid nose, and hypertelorism. Following surgical reconstruction, a good result is achieved. The embryology, implications for associated abnormalities, and surgical technique for treating these cases are discussed.
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