Repairing the cleft lip nasal deformity

Objective: The repair of the cleft lip nose and nasal deformity remains a c hallenging endeavor for reconstructive surgeons. Psychosocially, this compl ex, multifaceted deformity significantly stigmatizes the patient. Numerous techniques have been advocated by multiple authors for the treatment and re construction of these deformities, usually requiring serial staged reconstr uctions. Method: Described is our technique for early primary repair of the cleft li p nasal deformity. The use of multiple suspension sutures to repair the nas al defect facilitates the repair of even very wide cleft lips. Conclusions: These maneuvers provide an aesthetic and functional repair of the nasal defect in conjunction with the lip repair. Long-term results have minimized the need for surgical revision.