Micronostril is a cicatricial stenosis that may occur in the caudal-mo
st portion of the nasal cavity of cleft lip patients. This stenosis ca
n be severe and functionally debilitating, Previously proposed solutio
ns have offered disappointing results. Our solution has three key elem
ents: adequate scar release; restoration of the lining and support by
way of chondrocutaneous composite graft; and postoperative custom acry
lic splinting.