Clinical experience of repair of bilateral cleff lip

Objective To detect the operative technique of bilateral cleft lip.Methods 45 cases with bilateral cleft lip were treated by non-elongated cheiloplasty at 6～9 months,nasal floor completely closed.The mucosal flap of the anterior lip is used to deepen the lip furrow.The orbicularis oris muscle was sufficiently dissociated from lateral labial segment and functional reconstructed,The shape of vermilion tubercle and Cupid's bow was achieved by lateral red lip muscle flap.Postoperative follow-up was 0.3 ～2a.Results Primary healing of the incision was achieved,all cases showed satisfactory results with nice Cupid's bow,turgor vitalis of vermilion of the lip.The upper lip and nasal contours on quiet and dynamic state were satisfactory.Conclusion It is a recommended operative technique for bilateral cleft lip that could obtain further moving effect and perfect lip appearance by using functional orbicular muscle repair and deepening prolabiai vestibulum.