This webinar was originally accepted as a Teaching Course for ACPA's 77th Annual Meeting.

"The first time is the best time." Favorable initial cleft lip and nose repair is critical in providing patients with optimal long-termform and function. Current "cut as you go" techniques of cleft lip repair rely heavily on the abilities and experience ofsurgeons, and the myriad of variations reflects the free-form nature of those repairs. The lack of more defined methods canmake cleft lip repair intimidating for new surgeons and can result in variability of outcomes for more experienced surgeons.The "Anatomic Subunit Approximation Approach" to cleft lip repair relies upon anatomic landmarks and anatomic subunits inthe design of a cleft lip repair. It involves careful measurement and includes ways to check and recheck the design to helpsurgeons achieve favorable form. Studies have demonstrated optimal results without the learning curve that other techniquesrequire. Because the approach is based on landmarks, it inherently adapts to all presentations. Although the technique hasbeen widely adopted, the many landmarks and measurements make it seem complex. The purpose of this session is todescribe the Anatomic Subunit Approximation approach to cleft lip repair and demonstrate how it adapts to variouspresentations to produce favorable results. We will use step-by-step explanations to illustrate and clarify the approach. We will use case examples that span the spectrumof presentations from complete to microform clefts. We will describe ways to verify and adapt the repair for final tailoring sothat there is some flexibility in final repair. We will use a combination of photos, videos, illustrations, and discussions to ensurethat attendees benefit from the session. Even if more experienced surgeons do not adopt the technique, an understanding ofthe approach can help with the non-overt landmarking that occurs with cut-as-you-go repairs. Careful planning makes foraccurate and efficient repair and that ultimately benefits our patients!

Continuing Education

Attendees must register, attend and evaluate each webinar to receive continuing education credit. This on-demand course will be eligible through March 31, 2022. 

  • ACCME: ACPA designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credits™.  Physicians should only claim credits commensurate with the extent of their participation in the activity. The American Cleft Palate-Craniofacial Association is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Nursing: This nursing continuing professional development activity was approved by the North Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

To receive 1.0 contact hours:

  • Learners must attend 80% or more of the webinar.
  • Learners must complete and submit an evaluation form.

Neither the speakers nor members of the planning committee have any conflicts of interest related to the content of this activity.  Individual disclosures may be found in the “Topics” tab under their name. 

Original Seminar Date: July 16, 2020

On-Demand Release Date: July 17, 2020

On-Demand Expiration Date: March 31, 2022

Seminar Objectives
  • The learner will be able to design a reliable plan for cleft lip repair.
  • The learner will be able to describe the features of the cleft lip and nasal deformity.
  • The learner will be able to correct the foundation components of the nasal deformity.
Seminar Information
Expiration Date:
March 31, 2022 11:55 PM
1 hour
ACPA Life Member Price:
Transitional Member Price:
Student Non-member Price:
Student Member Price:
Member Price:
ACPA Retired Price:
ACPA Member Price:
Full Price:
Cleft Lip Repair: Measure Twice, Cut Once
Speaker Information
Raymond Tse MD, FRS(C)  [ view bio ]
Individual topic purchase: Selected
Accreditation Council for Continuing Medical Education (non-MD/DO)
AMA PRA Category 1 Credit(s)™: 1.00
AMA PRA Category 1 Credit(s)™: 1.00
Nursing Contact Hours: 1.00
On-Demand Access Only
Student Non-member: $14.99
Student Member: $14.99
Member: $14.99
ACPA Retired: $14.99
ACPA Member: $14.99
ACPA Life Member: $14.99
Transitional Member: $14.99
Full Price: $24.99