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.
| Location | Midline of the upper lip, between the columella of the nose and the vermilion border |
|---|---|
| Parts |
|
| Nerve Supply | Infraorbital nerve (sensation); Facial nerve (orbicularis oris) |
| Blood Supply | Superior labial arteries |
| Venous drainage |
|
| Lymphatic drainage |
|
A surface feature of the upper lip that reflects normal fusion of the facial processes.
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.
Failure of fusion of the upper lip at the side of the philtrum.
Prenatal alcohol exposure that can produce a smooth philtrum, thin upper lip and small eye openings.
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