Lateral Lower Lip Cleft: A Report of a Rare Craniofacial Cleft in a Child

Introduction: Craniofacial clefts are unusual. Perioral clefts that are discussed in the literature include cleft lip and cleft palate is more common. Midline mandibular and lower lip clefts are rare. Lateral lower lip cleft with only soft tissue involvement is so rare that it has not been reported until now. Clinical Report: A 44-month-old girl with a 1-cm-length cleft on the lateral side of the lower lip 8 mm medial to the commissure in lateral one-third of the lower lip referred to the authors' clinic. Repair of the lip consisted of excision of excess mucosa, muscle repair, and 2 z plasties at the level of skin and mucosal layer. Conclusion: This is the first report of a new foreseen type of Tessier clefts which may be classified as one of the clefts 15 to 29. Repair of this cleft can be done by soft tissue considerations when there are no underlying hard structure defects. Address correspondence and reprint requests to Dr Seyed Esmail Hassanpour, MD, Professor of Plastic Surgery, Department of Plastic Surgery, 15 Khordad Educational Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran 1598763513; E-mail: Hassanpour1394@sbmu.ac.ir Received 21 November, 2017 Accepted 12 April, 2018 The authors report no conflicts of interest. © 2018 by Mutaz B. Habal, MD.

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