Surgical Correction of Secondary Bilateral Cleft lip and Nasal Deformities Using the Delaire-Precious Technique

Objective This study aimed to determine the efficacy of the surgical correction of secondary bilateral cleft lip and nasal deformities using the Delaire-Precious technique for Asian patients with bilateral cleft lip +/- palate (BCL+/-P).Design Retrospective cohort study.Subjects Thirty-six patients with BCL+/-P in Japan, the Philippines, and Vietnam underwent secondary lip correction using the Delaire-Precious technique by a single surgeon.Methods The critical concepts of this surgical technique are discussed and clarified. A patient/parent satisfaction survey was carried out to evaluate the usefulness of this technique.Results The Delaire-Precious technique improves Cupid's bow's symmetry and the central tubercule's volume. The scar tissue between lateral and medial philtrum incisions is excised. The orbicularis oris muscle is then reconstructed with a midline suture placed above the periosteum of the premaxilla. Most patients (90.9%) and all parents were at satisfied with the surgical result. The technique was highly satisfactory to patients and parents except at the level of scar correction.Conclusion The secondary bilateral cleft lip and nasal repair using the Delaire-Precious technique is an adaptable technique that can be applied to various ethnic groups. It was found to be a satisfactory technique for Asian patients with BCL+/-P.