A single-stage method of repair of the bilateral cleft lip is described. This procedure can be accomplished over a normal or mildly protruding premaxilla in a single stage using lateral lip and skin flaps with a straight-line closure on the less deformed side, and a rotation-advancement, triangular-flap repair on the more deformed side. Skin and vermilion from the prolabium are used to reconstitute the gingival-labial sulcus.
Stability is achieved with the use of subcutaneous wires tied over dental cotton rolls at the nasolabial creases. These are removed 10 to 12 days following surgery.
This procedure offers a safe, stable, and easily performed method of repairing this type of defect.
Yarington CT. Single-Stage Repair of Bilateral Cleft Lip. Arch Otolaryngol. 1973;97(3):263–264. doi:10.1001/archotol.1973.00780010271009