Operating time
It is generally believed that unilateral cleft lip surgery is suitable for about three to six months, while bilateral cleft lip is a little later. The basic conditions for children to adapt to surgery are: general health, no upper respiratory tract infection, and no infection in local and surrounding tissues.
Surgical method of cleft lip repair
The basic steps of cleft lip repair surgery are fixed-point design, incision, repair and continuous reconstruction of cleft lip nasal muscles and skin suture. There are many fixed-point design methods, and different medical centers and doctors can adopt different surgical methods according to the specific situation of cleft lip.
Polizel's therapy
(1) The upper lip was fixed with steel wire lip arch tape for 2 weeks to prevent the wound from cracking and reduce scar healing.
(2) After the child is awake from basic anesthesia, the elbow joint should be fixed with splint bandage to avoid scratching the wound and reduce the tension of the labial arch.
(3) Gently wipe the lip wound with 3% hydrogen peroxide and iodophor to prevent the blood scab from covering and affecting the wound healing.
(4) Take out stitches in 5-7 days.
Postoperative sequential therapy
Although the cleft lip was repaired in infancy, with the growth and development, the nose and lips will still have different degrees of deformity, which is called secondary deformity after cleft lip surgery and needs further plastic surgery before school. Patients with alveolar bone fracture need bone graft repair at the age of 12, and those with secondary jaw deformity need orthognathic surgery in adulthood to further improve facial morphology and occlusal function.