Table 3.
Type of repair | Advantages | Disadvantages |
---|---|---|
Straight-line closure | Appropriate for microform clefts Rarely used for incomplete and complete clefts | Vertical scar contracture Sacrifice of normal tissue Notching of the lip Blunting of cupid’s bow |
Geometric flaps | Appropriate for inexperienced surgeons Preserves Cupid’s bow Amenable to wide clefts | Lack of flexibility Scar violates the philtral subunit |
Rotation-advancement flap | Versatility Minimal tissue loss Scar is hidden as a new philtral column Creates tension to reduce nasal flare | Mastered by experienced surgeons Possible small nostril on cleft side Extensive undermining necessary Vertical scar contracture |