According to statistics, the top three birth defects in Guangdong in 20 17 were congenital heart disease (27.8%), polydactyly/toe (10.3%) and cleft lip and palate (8.7%). It can be said that children with cleft lip and palate still account for many birth defects.
Experts pointed out that nearly half of the children are cleft lip with cleft palate, with a certain degree of nasal deformity, which requires surgery at the right time to achieve overall repair.
Nearly half of children with cleft lip and palate.
In recent 10 years, the birth defect rate in Guangdong Province has generally shown a downward trend. A large-scale study on cleft lip and palate, with 2011-201664 perinatal infants (28 weeks pregnant, 7 days postpartum) and pregnant women as the research objects.
The rates of cleft lip, cleft palate and cleft lip with cleft palate were 27.94%, 25.54% and 46.438 0% respectively. It can be seen that nearly half of children with cleft lip and palate are cleft lip and palate.
Once cleft lip and palate occurs, it will not only affect eating, language and other functions, but also affect the child's appearance.
Chen Ke, the chief physician of Chenxi Medical in the Third Affiliated Hospital of Guangdong Pharmaceutical University, pointed out that when children are two or three years old, because they can't keep the airflow of speech fully in their mouths (most of them escape through the nasal cavity), many sounds are difficult to make, and they are often forced to make them together with other structures and organs. The sounds made are very abnormal and difficult for outsiders to understand, so they are also called cleft palate.
It is precisely because of the defects in the teeth and oral structure of children with cleft lip and palate that they have obstacles in diet and language and need surgical correction.
Cleft lip and palate have been repaired, but the nose has collapsed.
Ms. Liu's daughter had a cleft lip suture when she was four months old and a cleft palate repair when she was one year old and four months old. Now she is six years old, but her nose is seriously deformed. Ms. Liu is worried that the deformity will affect the child's mental health, so she has been looking for a doctor to do nose repair surgery immediately.
In fact, more than 0/0 years ago, children with cleft lip and palate were more common. Chen Ke, the chief physician, said that at that time, 20 or 30 cases of plastic surgery were all for cleft lip and palate repair.
After so many years, these children have all grown up. After entering adolescence, they begin to pay attention to their own image and have a strong love for beauty. The shape of their lips and noses, especially their noses, has become an important concern for them.
Children with cleft lip and palate also have abnormal noses/vision china.
Professor Chen Ke believes that cleft lip and palate need to be repaired in the later stage of nose.
(1) Both flanks are asymmetrical. The alar of one side of cleft lip collapses, and the nostril is large or small, and the nostril is flat.
(2) The tip of the nose is flat or low, and the columella is short.
(3) The depressed nasal floor of the affected side is not full, and there is a defect at the bottom of the nostril.
Whether it is serious or not, bilateral alar cartilage congenital development asymmetry dislocation, excessive fat connective tissue accumulation at the tip of nose and deviated nasal septum are all problems faced by many children with cleft lip and palate, and such patients often need costal cartilage, which is more challenging for plastic surgeons.
Timely renovation, suitable for the pace of growth and development.
Just like Ms. Liu, many parents are very anxious and hope to do nose repair surgery for their children as soon as possible. Some parents even hope to fix their noses in one step when they are doing plastic surgery for cleft lip and palate, so that their children will suffer less.
"This idea is good, but unscientific." For example, Chen Ke said, "Most children with cleft lip and palate are accompanied by nasal deformities. The child's face is developing, and the final completion time of his alar cartilage development is 14- 16 years old. If cosmetic surgery is carried out before this, it may not be commensurate with the child's facial development. Therefore, experts do not recommend extensive anatomy of alar cartilage before development.
Experts believe that it is more appropriate to do nose repair after 16 years old. Figure/Yangcheng School reporter Zhang Hua
Chen Ke believes that if it is too advanced and causes inappropriate interference, it will be counterproductive to complete plastic surgery at the right time in line with growth and development.
Suggested process of cleft lip treatment
First visit: 14 days to one month after birth, confirm the defect.
Operation time: 3-4 months old, weighing more than 5 kg, cleft lip was repaired in one stage.
Secondary plastic surgery: the upper lip is not satisfied, and it is recommended to repair it in the second stage at the age of 2 and a half. If the alar collapse is obvious, it is suggested that the second stage of nasal deformity correction should be carried out at the age of 4 to 4 and a half.