[The application of composite skin-vermilion triangle fap and functional reposition of orbicularis muscle in congenital cleft lip].

OBJECTIVE: To investigate the ideal method for correction of vermilion deformity in congenital cleft lip. METHODS: From Mar. 2010 to Jan. 2013, 68 cases with congenital cleft lip underwent vermilion deformities correction with composite skin-vermilion triangle fap and functional reposition of orbicularis oris muscle. RESULTS: Primary healing was achieved in all the patients. 46 cases were followed up for 3 months to one year. Asymmetric thickness of vermilion and tubercle malposition happened in 8 cases. All the other patients had a satisfactory result with symmetric and fluent cupid' s bow and everting tubercle. CONCLUSION: Well reposition of orbicularis oris muscle is key for correction of vermilion deformity and tubercle reconstruction. This technique is very simple and practical.