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Home › Body Atlas › Organs › Philtrum
Organ Head & Skull

Philtrum

philtrum

The philtrum is the vertical groove in the middle of the upper lip, running from the base of the nose to the lip border. Its two raised edges (philtral columns) form where the facial processes fuse during development.

Anatomical Data

Structure & Supply

LocationMidline of the upper lip, between the columella of the nose and the vermilion border
Parts
  • Philtral groove
  • Philtral columns
  • Cupid bow (tubercle of the upper lip)
Nerve SupplyInfraorbital nerve (sensation); Facial nerve (orbicularis oris)
Blood SupplySuperior labial arteries
Venous drainage
  • Superior labial vein to facial vein
Lymphatic drainage
  • Submandibular nodes
Biomechanics

Function & Actions

A surface feature of the upper lip that reflects normal fusion of the facial processes.

Clinical Relevance

Clinical Notes

A smooth, flat philtrum is one of the facial features of fetal alcohol syndrome. Cleft lip arises from failed fusion at the edge of the philtrum, and repair aims to restore its normal shape.

Pathology

Common Injuries & Conditions

Cleft Lip

Failure of fusion of the upper lip at the side of the philtrum.

Fetal Alcohol Spectrum Disorder

Prenatal alcohol exposure that can produce a smooth philtrum, thin upper lip and small eye openings.

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