Abstract
We need to accomplish not only esthetic restoration of the deformity of the lip, but also functional reconstruction of the orbicularis oris muscle. Many procedures have been developed and modified to result in the best outcomes of cleft lip repair. Among several procedures, the rotation advancement method is personally preferred because it discards a minimal amount of tissue.
The authors have been performing surgery by the rotation advancement method, which results in a nearly straight scar to improve the outcome of philtrum plasty. We have been using Mimura's design in the vermillion to repair the labial tubercle. We have also been applying the muscle suspension method, which entails suturing the nasal and nasolabial muscle bundles to the anterior nasal spine for functional reconstruction. This report describes our techniques and points out important details.
