An approach to primary and secondary repair for the cleft lip nasal deformity is presented in a brief form. The approach borrows from a large number of sources, hence the use of the term “pastiche.” The sources include Millard, McComb, Anderl, Mulliken, and Cutting; Gunther, Rohrich, and Tebbetts; and Burget and Menick. A single case from each of the following cleft categories is presented and discussed: primary complete unilateral cleft, primary incomplete asymmetric bilateral cleft, primary complete bilateral cleft, and a secondary bilateral cleft. A description of the treatment method, its rationale, and a discussion are given for each category. There are a great number of varieties of the cleft lip malformation, but the principles presented can be applied to all of them.
From the Division of Plastic and Reconstructive Surgery, University of Miami School of Medicine, and the Miami Children’s Hospital.
Received for publication April 29, 2003; revised July 24, 2003.
S. Anthony Wolfe, M.D.
1444 N.W. 14th Avenue, Miami, Fla. 33125, firstname.lastname@example.org