Repair of unilateral cleft lip: triangular flap repairs.

The Tennison operation as presented is a reliable operation for all single clefts from the most incomplete to the very wide cleft. A lip adhesion is not necessary as a preliminary operation before the definitive repair. There is no problem in lowering the peak on the medial segment, and features of the atypical cleft have been presented with details on how to deal with these problems. More surgeons should use this procedure and see how pleased they and the patient will be with the result (see Fig. 12).