Dentofacial findings in a child with unrepaired median cleft of the lip at 4 years of age.

Dentofacial findings, audiometric and tympanometric studies, and the results of a speech evaluation of a 4-year-old boy from Yucatan, Mexico, with a rare median facial cleft are reported. It is of interest to note that all the abnormalities present in this patient were limited to the midline structures of the maxillary arch. The case presented fits into the second of the two groups of median facial anomalies described by DeMyer and his associates. There was minimal deficiency of the midline facial tissue, and there were no apparent abnormalities of the underlying brain. A brief description of the surgical techniques used for repair of the lip and palate is presented.