Children with repaired cleft lip/palate require secondary closure of the alveolar cleft and, often, nasolabial revision. We describe a technique performed in 61 patients for harvesting bone for the alveolar defect and dermis for augmentation of the median tubercle, taking both from the posterior iliac region. The advantages of the posterior approach are as follows: (1) the same donor site is used for cancellous bone and dermal graft and (2) the child's appearance is improved along with alveolar cleft grafting.
FreedbergI.M., EisenA.Z., WolffK., AustenK.F., GoldsmithL.A., KatzS.. Fitzpatrick's Dermatology in General Medicine.New York: McGraw-Hill;2003: 72–73.
2.
HallM.B., VallerandW.P., ThompsonD., HartleyG.. Comparative anatomic study of anterior and posterior iliac crests as donor sites.J Oral Maxillofac Surg.1991; 49: 560–563.
3.
HiranoA., MatsuoK., TanakaK.. Tulip flap for reconstruction of the central tubercle in cleft lip patients.Plast Reconstr Surg.1998; 101: 1345–1348.
4.
HopperR.A., CuttingC., GraysonB.. Cleft lip and palate. In: ThorneC.H., BartlettS.P., BeasleyR.W., AstonS.J., GurtnerG.C., eds. Grabb and Smith's Plastic Surgery.6th ed.Philadelphia, PA: Lippincott Williams & Wilkins;2007: 221–223.
5.
JacksonI.T., YavuzerR., KellyC., Bu-AliH.. The central lip flap and nasal mucosal rotation advancement: important aspects of composite correction of the bilateral cleft lip nose deformity.J Craniofac Surg.2005; 16: 255–261.
MullikenJ.B., Martínez-PérezD.. The principle of rotation advancement repair of unilateral complete cleft lip and nasal deformity: technical variations and analysis of results.Plast Reconstr Surg.1999; 104: 1247–1260.
8.
MullikenJ.B., WuJ.K., PadwaB.L.. Repair of bilateral cleft lip: review, revisions, and reflections.J Craniofac Surg.2003; 14: 609–620.
