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A Paramedian Cleft of the Lower Lip

Morritt, Daniel G. MBChB, MRCS*; Goodacre, Tim E. BSc, MBBS, FRCS; Wall, Steven A. MBBCh(rand), FRCS, FRCPCH FCS(SA) plast*

Journal of Craniofacial Surgery: May 2007 - Volume 18 - Issue 3 - p 704-706
doi: 10.1097/scs.0b013e318052e2ce
Brief Clinical Notes

We report the unusual case of a baby with a paramedian cleft of the lower lip. In 1976, Tessier described a classification of craniofacial clefts based on personal observations, and he predicted the possibility of further clefts being discovered by labeling midline mandibular clefts "30." This case of a paramedian cleft of the lower lip would fit into what could be a new Tessier 28/29 cleft. In the future, clefts in new locations around the mouth may be seen, thus filling the gaps in Tessier's classification.

From the *Craniofacial Unit, John Radcliffe Hospital; and Spires Cleft Centre, John Radcliffe Hospital, Woodstock Road, Oxford, United Kingdom.

Address correspondence and reprint requests to Dr. Steven Wall, Craniofacial Unit, West Wing, John Radcliffe Hospital, Oxford, OX3 9DU, UK; E-mail:

Sources of support: none.

© 2007 Mutaz B. Habal, MD