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r growth and good functional recovery. Children have to be followed up, however, until completion of growth. Macrostomia or lateral cleft lip is a rare congenital deformity. In this article we describe a surgical technique of macrostomia repair developed. The objective of this article is to assess the results of our surgical technique and to validate a method for macrostomia surgical result evaluation. We included retrospectively patients with unilateral and bilateral macrostomia, operated from 1995 to 2014 in our department. First part of