Unilateral cleft lip-nose repair--long-term outcome.

Good to excellent results have consistently been achieved by the authors in primary unilateral cleft lip-nose repair. Modifications and improvements in their original technique have led to better symmetry and balance, with less scarring. This technique, when performed by experienced surgeons, yields consistent, predictable, and achievable outcomes for all patients with unilateral cleft lip and nose, where normal appearance and function at conversational distance is the standard of care. The achievement of excellence in soft tissue and skeletal restoration optimizing each patient's growth potential depends on a surgical-orthodontic-speech-oriented treatment plan. Long-term outcomes demonstrating consistently good to excellent results can be achieved using this primary technique if it is backed up with a dedicated, multidisciplinary ongoing treatment protocol.