PMY Tang, EKW Chan, BSY Tsui, NSY Chao

Abstract

Purpose: Median cleft of the lower lip is an uncommon condition. We report a case of a non-syndromic Chinese girl with a central cleft palate, median lower cleft lip and anklylossia. Methods: A full term 6 momths old female child presented to our clinic for central cleft palate. Her palate was repaired uneventfully at 12 months of age. During the regular post palatoplasty follow up when she was 5-year-old, we noticed a subtle notch in the midline lower lip and ankyloglossia. Findings: As subsequent speech assessment showed hyponasal speech, velo-pharyngeal insufficiency corrective surgery together with surgical tongue tie release and surgical repair of the median cleft lower lip were offered. The parents needed more time to think about it. Conclusions: This case report highlighted the importance of longitudinal clinical follow up of patient with cleft anomalies.