The deformity of the bilateral cleft lip is complicated. The routine procedure often results in secondary deformities, such as over-tight lip, and over-thin vermilion. The paper introduces a modified straight-line procedure that has been used in 16 patients with satisfactory results. This one-stage procedure employed a nasolabial flap and two small triangular flaps to lessen the tension of sutrue and lengthen the anterior lip as well as create a natural feature of the vermillion border. The method overcame imperfection of routine ones and achieved functional repair of the lip that would facilitate the development of the columella and anterior lip.
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