Abstract
Twenty-one years ago, the author developed a new method of primary repair of unilateral cleft lip nasal deformity, which was published in 1975. Essentially this consisted of raising the slumped alar cartilage at the time of lip repair, without making incisions in the nasal lining. The first 10 children were followed up through to adult life (the end of their second decade). During this time, the repair remained stable, and there was no interference with normal nasal growth and development.
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