Bilateral Complete Cleft Lip and Nasal Deformity

This is the authors' abstract. We don't add key points for this paper.

This is a retrospective accounting of a personal evolution from staged to synchronous surgical correction of bilateral complete cleft lip and nasal deformity. Technical development can be separated into three phases: (1) two-stage lip/nasal repair with a banked forked flap and subsequent intranasal transposition of the tines (n = 15), (2) two-stage lip/nasal repair and later transection of the banked tines (n = 5), and (3) one-stage lip/nasal repair without a forked flap (n= 12) and with closure of alveolar clefts (n = 6 of 12). The premaxillary orthopedic program employed a removable jackscrew device in phases 1 and 2; the Georgiade-Latham pin-retained appliance was used in phase 3.