الفهرس 
Introduction and RationaleOnly 14 pages are availabe for public view
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Abstract
Over the past century, there have been major advances in unilateral cleft-lip repair techniques towards the modern form. The first documented cleft-lip repair involved simple freshening and approximation of the cut cleft edges, followed by the use of curved incisions to allow lengthening of the lip. Straight-line closure repairs were used in the early twentieth century; however, straight-line closures had the disadvantage of creating a vertical scar contracture, leading to notching of the lip. This led to the development of several methods in the mid-twentieth century that are grouped as quadrangular flaps, triangular flaps, and rotation-advancement techniques.
The ultimate goal of cleft lip repair is a symmetrical and balanced lip with minimal scar to restore the natural contours of the face, as well as correcting functional anatomy. The two most common techniques used today are the Millard Rotational Advancement technique and the Tennison-Randell Triangular Flap technique. Both techniques address the importance of repositioning the lip muscle (orbicularis oris) in the correct anatomic orientation for optimal aesthetic and functional outcomes. Each technique has its advantages and disadvantages and should be taken into account when choosing which technique to use in repair. Best results are achieved when the whole multidisciplinary team believe and take part in the program and individual interventions are implemented together.