Abstract
Previously, we reported a small semi-circular flap method above the white skin roll instead of the triangular flap. 1 Nakajima T. Tamada I. Miyamoto J. et al. Straight line repair of unilateral cleft lip: new operative method based on 25 years experience. J Plast Reconstr Aesthet Surg. 2008; 61: 870-878 Abstract Full Text Full Text PDF PubMed Scopus (31) Google Scholar However, the result with the semi-circular flap was sometimes conspicuous, because the closure line was not precisely along the philtral ridge. Therefore, we present a further modification: the bow-shaped excision method. In this, crescent-shaped skin defects are marked above the white skin roll, and closed to each other. With this manipulation, lip elongation and straight closure line can be obtained.
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