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Purpose: to evaluate the effect of simultaneous vomerine flap and lip repair on the palatal dimensions in unilateral complete cleft lip and palate patients. Patients and Method: this study included 12 patients complaining of primary unilateral complete cleft lip and palate. They were classified randomly into two groups: Group I: included 6 cases, in which simultaneous cleft lip and hard palate repair was done using single layer vomerine flap. Group II: included 6 cases, in which separate repair of cleft lip and hard palate was done. Syndromic patients and patients with previous trial of repair were excluded. Results: showed reduction in A-A` alveolar cleft width and C-C` anterior palatal width occurred in both groups, while E-E` posterior palatal width increased in group 1 and decreased in group2 and the reverse occurred in BZ antro-posterior palatal width. Conclusion: Vomer flap is an easy, safe technique, with less time consuming and provides complete healing with less fistula formation.

Effect of Simultaneous Vomerine Flap and Lip Repair on the Palatal Dimensions in Unilateral Complete Cleft Lip and Palate Patients