作者报告在双侧唇腭裂修复术中同时行开放性鼻尖成形术的经验。手术原则包括:①重点重建唇肌和鼻翼软骨,皮肤留待二期修整。②鼻小柱分两部分重建,皮肤成分来自鼻尖而不是唇和鼻底,软骨成分由解剖复位鼻翼内脚而获得,保留粘膜衬里与之相连。③鼻尖 The authors report concurrent open apical apical angioplasty in bilateral cleft lip and palate repair. Surgical principles include: ① focus on reconstruction of lip and nose cartilage, leaving the skin for two dressing. ② columella reconstruction in two parts, the skin composition from the tip of the nose rather than the lips and nose, cartilage composition obtained from the anatomical reduction of the inner wing of the nose, leaving the mucosal lining attached to it. ③ nose tip