median cleft is the midline cleft of the lip. it develops due to incomplete or failed fusion of the median nasal prominence. it can present with minimal deformities such as involvement of the vermilion border, or complex clefting of the midline structures and brain. median clefts are broadly classified as true and false clefts. this case report describes a rare case of median cleft of the upper...

Objective To validate the computer-assisted method of measuring palpebral fissure length and philtrum smoothness using digital patient photographs. These are key diagnostic facial features of Fetal Alcohol Syndrome. Design Prospective study. Setting Motherisk Program (including Breaking the Cycle), Hospital for Sick Children, Toronto a clinical, research and teaching program dedicated to antena...

Background: The presence of philtrum in the middle area of the upper lip is a pre-eminent feature of facial aesthetics. However, the philtrum is invariably damaged in cleft lips, and the damage persists even after primary surgery. We attempted to use de-epidermized scar tissue flaps, to raise the philtral ridge and dimple, in secondary unilateral cleft lips. Methods: A prospective study was pla...

Anthropometry, a useful method for evaluating craniofacial soft tissues, makes the quantitative description of the face possible. It also assesses the degree of disharmony and imbalance in the growth and development of the face. The aim of this study was to examine the overall common age-related changes of nasomaxillary complex of adolescent boys in northeast Iran. Three- hundred- twelve 12 to ...

OBJECTIVES The aim of this paper is a quantitative assessment of FASD facial phenotype in the Polish population using the Polish version of the 4-Digit Diagnostic Code. METHODS The study covered 2 groups of children: 30 children aged 4-7 and 30 children aged 8-11 with a facial phenotype characteristic for the Fetal Alcohol Syndrome (FAS). The control group consisted of 60 children (4-11 years...

Children adversely affected by prenatal exposure to alcohol display a continuum of dysmorphic features, behavioral and neuropsychological deficits best termed fetal alcohol spectrum disorders (FASD). Alcohol exposure during critical stages of central nervous system and midfacial development leads to the observed pattern. Recent research on FASD focuses increasingly on quantifying physical trait...

Cornelia de Lange syndrome (CdLS) is a rarely seen multisystem developmental disorder syndrome characterized by facial dysmorphia (arched eyebrows, synophrys, depressed nasal bridge, long philtrum, down-turned angles of the mouth), upper-extremity malformations, hirsutism, cardiac defects, growth and cognitive retardation, and gastrointestinal abnormalities. We present here a case of newborn ma...

Bilateral cleft lip repairs can result in various secondary deformities. One more commonly seen deformity, the whistle deformity, is characterized by a reduced or absent tubercle, orbicularis muscle diastasis, and abnormalities of the philtrum with notched appearance of cupid's bow. Various techniques have been described to address these problems. One common procedure is the lip-switch flap ori...