SECONDARY CORRECTION OF THE BILATERAL CLEFT-LIP NOSE BY EXCISION OF THE COLUMELLAR FORKED FLAP AND NASAL REMODELING WITH REVERSE-U FLAPS - A PRELIMINARY-REPORT

Although the forked flap procedure has been widely used as a technique to lengthen the columella in the bilateral cleft lip deformity, often the results are unfavourable. We describe a technique to achieve a mo re natural shape, in which the unsatisfactory forked flap is excised a nd the columella is reconstructed by mobilization and rotation of nasa l skin, combined with bilateral reverse-U flaps. Five consecutive pati ents who underwent this secondary correction procedure are presented.