According to the different types of cleft lip, cleft lip repair is mainly divided into unilateral cleft lip repair and bilateral cleft lip repair. After primary cleft lip repair, it is usually necessary to repair the secondary deformity of cleft lip according to the secondary deformity of cleft lip. In addition, we should grasp the best repair period of surgery, such as unilateral cleft lip repair should be completed 6 months ago; Bilateral cleft lip repair is generally completed before 1 year, and it can be completed in 6-8 months if conditions permit.

Preoperative preparation of rabbit lip repair operation

1, patients need to draw blood on an empty stomach to check their liver function before operation, and children under 6 months of Australian resistance can check their maternal blood; Check blood routine, urine routine, chest X-ray, etc. If there is a problem, you should be treated and then admitted to hospital for surgery.

2. Children should have no symptoms of upper respiratory tract infection such as fever, cough and runny nose before operation, and try to eliminate the influence of various unfavorable factors on the operation.

3. Children with cleft lip and palate should be used to eating with spoon or dropper before operation, so as to avoid crying after operation because of inadaptability, which will affect eating and wound healing.

Action is only half the battle. Proper postoperative care is the key to ensure normal wound healing and successful operation.

1. 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 the area and surrounding tissues.

2. Surgical methods for cleft lip repair

The basic steps of cleft lip repair surgery are fixed-point design, incision, repair and continuous reconstruction of nasal muscles of cleft lip, and patchwork 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.

3. Postoperative treatment

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 children are awake from basic anesthesia, double elbow joints are fixed with splint bandage to avoid scratching the wound and reduce the tension of labial arch.

3. Gently wipe the lip wound with 3% hydrogen peroxide and iodophor to prevent scab coverage and affect wound healing.

Take out stitches for 5-7 days.

4. Sequential therapy after operation

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.