title: [Clinical effect of functional repair of bilateral cleft lip in 66 patients].
abstract: OBJECTIVE
  To explore the clinical effect of functional repair for bilateral cleft lip using modified Mulliken method.
  
  
  METHODS
  Sixty-six patients with bilateral cleft lip were selected and assigned to receive modified Mulliken method. During the operation, the prolabium was kept as narrow "tie" shape, the orbicularis oris was anatomically repositioned, and the orbicularis oris ring was re-built. Vermilion tubercle was reconstructed with the lateral red vermillion. The nasal deformity was preliminarily repaired. and the nasal columella was elongated at the same time.
  
  
  RESULTS
  All the patients were followed-up for 0.5-2 years, there was no "trisection upper lip". The symmetry and natural shape of Cupid's bow were obtained in more than 80% patients. The width of philtrum was similar to normal children. Full vermilion of the lips, moderate-size vermilion tubercles and good dynamic and static shape were obtained without whistle deformities. Normal width of nasal base and nostril symmetry were gained. The columella was elongated. Satisfactory contour of the nasal tip was achieved.
  
  
  CONCLUSIONS
  Modified Mulliken method could functionally repair bilateral cleft lip and effectively correct nasolabial deformities. It is worthy of wide clinical application.
authors.affiliation: Department of Oral and Maxillofacial Surgery, Stomatological Hospital of Jiangsu Province, College of Nanjing Medical University. Nanjing 210029, Jiangsu Province, China.E-mail:923045250@qq.com.
authors.forename: Ming
authors.initials: M
authors.lastname: Li
authors.forename: Hong-bing
authors.initials: HB
authors.lastname: Jiang
authors.forename: Hua
authors.initials: H
authors.lastname: Yuan
authors.forename: Yi-fei
authors.initials: YF
authors.lastname: DU
authors.forename: Yu-nong
authors.initials: YN
authors.lastname: Wu
authors.forename: Lin-zhong
authors.initials: LZ
authors.lastname: Wan
mesh_terms: D002648:Child; D002971:Cleft Lip / Q000601:surgery*; D005145:Face; D006801:Humans; D008046:Lip; D009061:Mouth Mucosa; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps