To the Editor.
—Leslie Bernstein published a paper entitled "Modified Operation for Wide Unilateral Cleft Lips" in the Archives (91:11-18, 1970). He modifies the Millard rotation-advancement method using the same "Tennison-type but Randall sized" flap that Skoog described in 1958. His motive seems commendable as he adopted a quote from McDowell to be used in his own context: "Any new design will be adopted alike by superb, average and clumsy* surgeons.... This modification is being offered for use in wide unilateral clefts in the hope it will produce improved results." In his address to the American Academy of Facial Plastic and Reconstructive Surgery meeting in New Orleans in 1969, he restated an "old wives' tale": "This is an excellent procedure for partial and narrow clefts.... When applied to wide clefts there is often a tendency to contraction of the main scar, so that a short lip results." Yes, if