Rare Median Cleft-Lip Repair With Novel Surgical Procedures Using Bilateral Cleft Margin Flaps.

Area of Science:

• Plastic Surgery
• Craniofacial Surgery
• Pediatric Surgery

Background:

• Median cleft lip with nasal anomalies is a rare congenital condition.
• Surgical repair techniques for this deformity are infrequently described.
• Reconstruction of the columella and nasal base is critical for optimal outcomes.

Observation:

• A new surgical procedure utilizing bilateral cleft margin flaps was evaluated for median cleft lip repair.
• Two pediatric patients, aged 3 and 6 months, underwent single-stage lip and nose reconstruction.
• The procedure involved columellar reconstruction with cleft margin flaps and anterior nasal tip coverage.

Findings:

• The surgical technique successfully reconstructed the median cleft lip and associated nasal deformities.
• Postoperative follow-up of 4-5 years showed satisfactory aesthetic results in both patients.
• No significant postoperative complications were reported, indicating a safe procedure.

Implications:

• This bilateral cleft margin flap technique offers an effective, tissue-saving solution for rare median cleft lip deformities.
• The described method provides durable and satisfactory aesthetic outcomes in pediatric patients.
• This approach may become a valuable option for craniofacial surgeons treating complex lip and nasal anomalies.