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Leslie Bernstein, MD, DDS

Arch Otolaryngol. 1970;91(1):11-18.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

NUMEROUS procedures have been described for repair of congenital clefts of the lip. The older methods aimed at closure of the defect in primitive fashion, with insufficient regard for the cosmetic result.¹ From the time of Celsus until well into the 19th century, the operation consisted of an excision of the margins of the cleft and a crude approximation of the raw edges (Fig 1). Needless to say, failures were frequent.

About 1830, Dieffenbach² introduced lateral undermining incisions to allow sliding of the flaps together with less tension. Mirault³ is generally credited with having been the first, in 1844, to bring a flap from the lateral segment across the lower margin of the cleft, thereby adding improvement to the postoperative appearance of the lip (Fig 2). His method became the forerunner of various modern procedures. Numerous contributors have added their own modifications over the years. Collis improved . . . [Full Text PDF of this Article]

Author Affiliations
Iowa City, Iowa

From the Department of Otolaryngology and Maxillofacial Surgery, University of Iowa Medical Center, Iowa City, Iowa.

Footnotes
Accepted for publication Sept 24, 1969.

Read before the Annual Scientific Meeting of the American Academy of Facial Plastic and Reconstructive Surgery, New Orleans, March 20, 1969.

Reprint requests to University Hospital, Otolaryngology, Iowa City, Iowa 52240.

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