Tissue expansion in median facial cleft reconstruction: a case report.

Median cleft of the face is a rare congenital anomaly. Patients with mild deformities require only limited nasal reconstruction; however, the nasal dorsal soft tissue envelope is usually tight and insufficient, making bone grafting difficult. The tissue-expansion method was used for nasal reconstruction in a patient with a median facial cleft, an expander being improvised from an intubation tube balloon.