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  • Title: Secondary correction of the bilateral cleft lip nose by excision of the columellar forked flap and nasal remodelling with reverse-U flaps: a preliminary report.
    Author: Uchida M, Kojima T, Hirase Y.
    Journal: Br J Plast Surg; 1994 Oct; 47(7):490-4. PubMed ID: 7952819.
    Abstract:
    Although the forked flap procedure has been widely used as a technique to lengthen the columella in the bilateral cleft lip deformity, often the results are unfavourable. We describe a technique to achieve a more natural shape, in which the unsatisfactory forked flap is excised and the columella is reconstructed by mobilization and rotation of nasal skin, combined with bilateral reverse-U flaps. Five consecutive patients who underwent this secondary correction procedure are presented.
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