الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Bilateral cleft lip surgery is challenging for the paediatric plastic surgeon. Different surgical techniques are described for bilateral cleft lip repair either in on stage or multiple stages. The main limitation reported for the one stage technique is the excessive tension encountered during the repair while the main limitation of staged techniques overall was the ability to achieve good upper lip symmetry after the final repair. In our study, we evaluated the symmetry of bilateral clefts after performing a staged repair that consisted of muscle mobilisation at the first stage followed by the full repair at the second stage.
In the current study, the previously described staged repair stage was performed to 20 patients having bilateral cleft lip after the nasoalveolar molding unless the patient presented to us beyond the age of 3 months. The selection criteria were: 1) Patients that had a severely projected premaxilla 2) rotated premaxilla 3) vertical height of the prolabium less than 6 mm 4) asymmetric bilateral clefts 5) failed nasoalveolar molding 6) patients that did not undergo nasoalveolar molding. Patients with facial clefts were excluded. The first stage