We read with great interest the recent article "Bilateral Cleft Lip Revisions: The Abbe Flap." We would like to take the opportunity to further expand on the topic of using the reverse Yu flap for difficult reconstruction of the upper lip.One of 500 to 1000 babies are born with a cleft. Cleft lip, with or without cleft palate, is the most common of these facial clefts. Reconstruction of the upper lip and restoration of the continuity of the circular muscle in the lip are important steps in treatment. However, because of many comprehensive factors, bilateral cleft lip revisions lead to unsatisfying results such as scars, more tension, and a paucity of vermilion, leaving stigmata that require multiple revisions throughout childhood.
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