We have performed the management of  cleft lip deformities with the modified reverse U method.　Seventy-one patients with the unilateral cleft lip nasal deformity were repaired. In the primary operation, the cheiloplasty with Tajima’s technique (J.max.fac.Surg.1983) for 39 cases was performed, and 32 cases were operated by other technique. The age range of the patients was from 4 to 40 years. The follow-up period ranged from 2 to 8 years. Each point of the nasal dome and the alar crease was measured (Fig-1). The evaluation was performed based on the degree of symmetry of the nasal dome and the contour of the alar crease as a ratio of affected side to non-affected sides (Table-1). Each ratio was assessed as a point on a scaled 1 to 3 with 3 being the most favorable (Table-2).

Excellent and good results were obtained in 58 cases. Thirteen patients had fair results. The secondary correction after Tajima’s primary operation had a higher score in the result (Table-3).　

In conclusion, the results of the primary operation are very effective for the secondary correction. We believe the modified reverse-U method is very useful for achieving symmetry of the unilateral cleft lip nose in the long term.