A 24-year follow-up with simultaneous treatment of the lip, nose, and palate in the neonatal period is presented. The first author operated on 92 patients in the neonatal period using a personal approach based on the Rose and Spina techniques. Technical details of the primary repair are described. The unilateral cleft lip-nose is operated on through a curved skin incision, with an upper third Z...

Background: The presence of philtrum in the middle area of the upper lip is a pre-eminent feature of facial aesthetics. However, the philtrum is invariably damaged in cleft lips, and the damage persists even after primary surgery. We attempted to use de-epidermized scar tissue flaps, to raise the philtral ridge and dimple, in secondary unilateral cleft lips. Methods: A prospective study was pla...

BACKGROUND Mainstay of post-burn reconstruction is release and split skin grafting. Pedicle flaps are cumbersome to the patient, require multiple procedures and hospitalization. Free flaps are technically demanding and facilities are not universally available. Here we evaluated the local perforator flaps for post-burn reconstruction. METHODS We have used sixteen perforator propellar flaps fo...