2010 Volume 70 Issue 4 Pages 293-301
The prolabium of the bilateral cleft lip and palate is deformed and has insufficient tissues. It is necessary to use the lateral labia to reposition the alveolar form. For this purpose, we performed a two-stage procedure. First, one side is closed completely using the maximum amount of tissue available. Concomitantly, incomplete closure is performed on the other side. The result at the end of the first stage of the procedure approximates unilateral incomplete closure. Secondary lip repair procedures are performed six months later. Complete closure is performed on the incomplete closure side. At the same time, the hard palate is closed with the vomer flap. Using this palatal model, the morphological change as a result of the primary repair of the bilateral cleft lip and palate approximates normal morphology of the palate.
