Secondary Management of the Nasal and Labial Deformities in the Patients with the Bilateral Cleft Lip or Bilateral Cleft Lip and Cleft Palate after Primary Bilateral Cleft Lip Repair

Objective:To introduce the second repair methods and outcomes of the patients with the secondary deformities after primary repair of the bilateral cleft lip or / and bilateral cleft lip and cleft palate.Methods:Fifty patients with the secondary deeformities may adopt Noordhoff's method of the bilateral cleft lip repair;The patients who have severe nasal and labial deformities and tight upper lip may use advancement of the prolabium into the columella for lengthening,combined with an Abbe flap for upper lip reconstruction when a deficient upper lip is unable to yield donor tissue.Results:Thirty patients of 50 cases have had an obvious Cupid's bow,Cupid's bow peak and the median tubercle, and have recovered the normal nasal configuration, the nostril size, the nostril sill, proper length of the columella and the height and width of the upper lip.Other 11 patients had an improvement for the secondary nasal and labial deformities.Conclusion:The three operative techniques may be used for repairing secondary nasal and labial deformities of the patient with the bilateral cleft lip and bilateral cleft lip and cleft palate after the primary repair of the bilateral cleft lip or/and bilateral cleft lip and cleft palate.