We present a new procedure for the secondary correction of the cleft lower lateral cartilage in the unilateral cleft lip nose deformity. A chondromucosal sleeve based entirely on mucosa is combined with an open rhinoplasty to facilitate a medial to lateral rotation of the cleft lower lateral cartilage. In 52 patients, we have found that this technique improved the results of the deformity and is more successful than lateral to medial rotation procedures alone. The chondromucosal sleeve adds to the medial to lateral rotation techniques the ability to obtain a controllable and reproducible result.
