Abstract
Median cleft lip has two types- incomplete and complete. It is a rare anomaly develops because of incomplete or failed fusion of the median nasal prominence. It can present with minimal deformities like involvement of the vermilion border, or complex clefting of the midline structures and brain. This case report describes a rare case of median cleft of the upper lip involving the white roll, which wasn't related to the other deformities. Management of median cleft lip comprises reconstruction of the philtrum with the cupid's bow with the maintenance of vermilion fullness, continuity, and minimizing postoperative scar formation. Various techniques are advocated for treatment of this sort of median upper lip cleft. Here we describe a method using Pfeifer incision to correct the patient's defect. Pfeifer incision consists of wavy lines and its use has been advocated for correction of varied craniofacial abnormalities.
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