ABSTRACT
Aim: Repair of cleft lip aims to bring symmetry and provide normal aesthetics for the
lip. Several techniques have been employed; however, the finer aspect of median lip
tubercle has not been emphasised in cleft lip repair. Materials and Methods: We have modified cleft lip repair, both unilateral and bilateral, preserving all
the tissues of the median tubercle to provide normal-looking median tubercle of the
lip. The modified technique was carried out by a single surgeon on 322 cases of unilateral
cleft lip and 68 cases of bilateral cleft lip. Follow-up was done for 1–3 years on
these children to evaluate the outcome. Results: The evaluation showed excellent results in more than 80% of patients in unilateral
cleft lip repair, on 1–3 years of follow-up; 20% had acceptable results. Of 68 patients
with bilateral cleft lip, none had any complication, and excellent results were obtained
in 70%. Result was rated acceptable in 30%; 15% may need revision surgery for white
roll and vermilion adjustment. Conclusion: We present the technique of reconstructing a normal-looking median tubercle in cleft
lip repair. The technique was modified based on the study of normal upper lip and
embryology of cleft lip, with emphasis on creating better median tubercle of the lip.
KEY WORDS
Bilateral cleft lip - cleft lip - cleft lip repair - median tubercle - vermilion
