Abstract
In cleft lip and palate patients primarily the asymmetry of the nasal vestibules is conspicuous. Besides that there is always a septal deviation, which usually results in a deviated nasal axis. One experience gained between 1980 and 1989 on 274 cleft noses is presented. A new technique of nasal alar correction is described: After moulding of the cartilagenous framework, the soft tissue is corrected: The shortened cleft sided columella is prolonged by a triangular flap which is turned inwards. The surplus of skin of the overhanging ala is rolled in to achieve a symmetrical rim configuration. A resulting gap between these two flaps is covered by the surplus of vestibular skin.
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