Bilateral Cleft Lip Repair

Video Type: CVideo
  • 2-5 min videos of a particular surgery or technique. These again show major events in the surgery
  • Clearly annotated and narration is a must in these videos
  • These have clear but concise abstracts are not able to be indexed in PubMed
  • Distributed in newsletters, featured on our website and social media
  • Peer reviewed

Author: James Phillips
Specialties: Otolaryngology, Pediatric Otolaryngology, Plastic Surgery
Schools: University of Arkansas for Medical Sciences, Vanderbilt University
0 votes, average: 0.00 out of 50 votes, average: 0.00 out of 50 votes, average: 0.00 out of 50 votes, average: 0.00 out of 50 votes, average: 0.00 out of 5 (0 votes, average: 0.00 out of 5)
You need to be a registered member to rate this post.
Basic Info

Contributors: Larry Hartzell

Repair of the bilateral cleft lip deformity can be challenging to the cleft and craniofacial surgeon.  The goals of an acceptable repair must include precise continuity of the cupid's bow, maximizing philtral length, and establishing a mucosa lined sulcus.  We present an example of a repair of the bilateral incomplete lip as described by Millard.




Bilateral cheiloplasty


Bilateral cleft lip


Medically unfit for general anesthesia. Poor nutrition for compromised healing.



General plastics set up including calipers, straight beaver blade, and skin hooks

Preoperative Workup

Pre-operative photos, Hemoglobin and hematocrit, preoperative parental counseling

Anatomy and Landmarks

External landmarks of the upper lip: Cupids bow, philtrum, philtral dimple, cutaneous white roll, wet and dry vermillion, nasal base.


This repair provides the option of banking redundant skin at the bilateral nasal base as "fork flaps" which may be used later on if collumellar lengthening is anticipated to be necessary. This technique also provides the "E-flap" which gives fullness to the tubercle of the upper lip.


Bleeding, infection, poor wound healing, unacceptable scarring.

Disclosure of Conflicts




1. Noordhoff, MS. (1986) Bilateral cleft lip reconstruction. Plastic and Reconstructive Surgery. Jul;78(1):45-54.
2. Oh, SJ. (2008) Reconstruction of bilateral cleft lip and nose deformity. Journal of Craniofacial Surgery. Sep;19(5):1353-8.

0 replies

Leave a Reply

Want to join the discussion?
Feel free to contribute!

Leave a Reply