Reconstructive Techniques for the Repair of Secondary Defect of Unilateral Cleft Lip

Objective To evaluate the different techniques for the repair of secondary defect of unilateral clift lip.Methods The incision line was designed along the nasal column and the alar cartilage was dissected.The inner crus of nasal alar were cut and fixed at same height with normal side.A part of epithelium of the nasal base was removed and a rhombus flap was formed.It was put into deep cavity of nasal base.The wide nasal base and abduct crus of nasal alas were corrected by V-Y or Y-V advanced flaps.Results Satisfactory results were achieved in all 29 patients with this technique.The post-operative scar was inconspicuous.Conclusion This technique with advantages of replacement of oral orbicular muscle and its functional reconstruction is a good choice for the repair of secondary defect of unilateral cleft lip.