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Unilateral Cleft Lip and Nasal Deformity: 8 Principles for Symmetrical Correction
John G Meara1,2, Kerry A Morrison1,2
1From the Department of Plastic and Oral Surgery, Boston Children's Hospital, Boston, MA.
Plastic and Reconstructive Surgery. Global Open
|June 9, 2025
Summary
This study presents a novel hybrid surgical technique for unilateral cleft lip and nasal repair, enhancing symmetry and natural appearance. The method utilizes unique skin flaps to avoid common scarring, improving aesthetic outcomes for patients.
Area of Science:
- Plastic Surgery
- Craniofacial Surgery
- Pediatric Surgery
Background:
- Describes a hybrid surgical approach for unilateral cleft lip and nasal deformity.
- Evolved from established techniques like Skoog, Millard, and Fisher.
Purpose of the Study:
- To present a refined hybrid surgical technique for unilateral cleft lip and nasal repair.
- To highlight key technical elements and surgical principles for improved outcomes.
Main Methods:
- Incorporates two triangular skin flaps from the lateral lip into medial lip releasing incisions.
- Avoids columellar back-cuts or C-flaps to prevent scarring at critical aesthetic junctions.
Main Results:
- Creates a natural-appearing skin 'apron' from the columella to the philtrum.
- Achieves a smooth, gradual transition of the skin over the footplate region.
- Delineates key surgical pearls with visual aids (drawings and video).
Conclusions:
- Highlights eight essential surgical principles for achieving symmetrical correction.
- Emphasizes the technique's ability to create a more natural aesthetic result.
- Offers a valuable alternative for unilateral cleft lip and nasal reconstruction.
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