Cleft lip: a combined approach.

A combination of recognized procedures in the repair of the cleft lip patient is described. The first combination, which is used for the narrow cleft lip, consists of the forked flap, the rotation-advancement flap, and the round nostril technique. The second combination, which is best for the wide cleft, is the same except that the Wynn lateral flap replaces the rotation-advancement flap. It is believed that the results are sufficiently improved to justify the use of each of these combinations in selected cases. The indications, technique, and the short-term follow-up are presented.