Cleft lip repair is fundamentally aimed at normalizing the facial anatomy. Recognizing the lip's dual role as both a cosmetic and functional organ, the repair must meticulously address both aspects. Treatment also encompasses associated nasal deformities, which are almost universally present in cleft lip cases. Specific objectives for the lip include the symmetrical reconstruction of the lip's mucosa and skin, ensuring functional integration of the lip muscles, and the aesthetic formation of key labial subunits such as the philtrum columns, vermillion tubercle, and Cupid's bow. For the nose, treatment aims involve achieving symmetrical nostrils, an adequate nasal floor, appropriate columella length, symmetrical and sufficient nasal tip projection, and symmetrical alar bases.
The objectives for cleft palate treatment are equally comprehensive. These include establishing an airtight and watertight velopharyngeal valve, preserving hearing, maintaining normal midface growth, creating a functionally and aesthetically adequate upper dental arch, and ultimately facilitating clear speech and optimal phonation.