title: Management of Midline Facial Clefts.
abstract: Median or midline facial clefts are rare anomalies of developmental origin, etiology of whose occurrence is still unknown precisely. The most basic presentation of midline facial clefts is in the form of a Median cleft lip which is defined as any congenital vertical cleft through the centre of the upper lip. First described by Bechard in 1823, it is the most common amongst all atypical clefts reported. The incidence is about 1:10,00,000 births. This may occur as a sporadic event or as a part of an inherited sequence of anomalies. It arises embryologically from incomplete fusion of the medial nasal prominences. The authors present a series of eight cases with varying degrees of midline facial clefts. This review article aims to give a broad idea on the various classifications used for further understanding of midline facial clefts and a brief idea about the various surgical management techniques used in the repair of these facial clefts.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Institute of Dental Sciences, Bhubaneshwar, Odisha India.
authors.forename: Sobhan
authors.initials: S
authors.lastname: Mishra
authors.affiliation: Department of Oral and Maxillofacial Surgery, Dr D. Y. Patil Dental College and Hospital, Pimpri, Pune, 411018 Maharashtra India.
authors.forename: Samrat
authors.initials: S
authors.lastname: Sabhlok
authors.affiliation: Tata Memorial Cancer Institute, Mumbai, Maharashtra India.
authors.forename: Pankaj Kumar
authors.initials: PK
authors.lastname: Panda
authors.affiliation: Oral and Maxillofacial Radiologist, Pune, Maharashtra India.
authors.forename: Isha
authors.initials: I
authors.lastname: Khatri
keywords: Midline cleft lip; Midline facial cleft; Triangular flap; Z-plasty