Study on the Repairing of Bilateral Cleft Lips and Nose Deformity with Cutting Method

Objective:To detect the operative technique and aesthetic problem of reconstruction the deformity of bilateral cleft lip. Methods:From December 2007 to July 2008,18 patients with bilateral cleft lip were treated,aged from 5 months to 2 years. The chief design principle was keeping the length of prolabium. The shape of vermilion was achieved by lateral red lip muscle flap and simultaneous simple rhinoplasty was performed. Results:After 10 days to 23 months follow up,the results were satisfactory in the width and chubbiness of the nose bottom,the shapes of nostril and Cupid's bow were good without whistle deformity. The appearance of upper lip was good in either dynamic or static state. Conclusion:Excellent shapes and function of the nose and lip ,and opportunity for two-stage repair could be obtained with this method,especially for patient without orthodontics pre-operation.