Repair standard
1. Because there is no muscle in the middle lip, the orbicularis oris muscles on both sides must be stitched in the center of the upper lip. So as to completely reset and close the orbicularis oris muscle.
2. The red lips are arranged neatly and the upper dental groove is deep.
3. Without the central notch (the central red lip is thin), a good one will form a lip bead at the same time.
4. Bilateral lips are red and symmetrical.
Matters needing attention in operation
1, fixed point, crossed accurately.
2, cut the skin neatly, vertical, incision direction from bottom to top, so as not to cut off the red lip vertically.
3. All operations require precision, so as to minimize the damage. Usually suture with 3-0 ~ 5-0 nylon single thread to minimize scar reaction.
4. When sewing, all points must be aligned accurately, especially the red lips must be aligned, otherwise a trapezoidal red lip will be formed. The key to muscularis suture is to be reliable and not to have gaps.
Polizel's therapy
1. The wound should be bandaged within 24 ~ 48 hours after bilateral cleft lip repair. If postoperative secretions contaminate the dressing, exposure therapy can be used after 24 or 48 hours.
2. After bilateral cleft lip repair, the labial arch should be fixed for 6-8 days to reduce suture tension, ensure incision healing and reduce scar.
3. Wash the exposed wound with 405 alcohol or mercuric chloride, 4 ~ 6 times a day.
4. After bilateral cleft lip repair, stitches were removed intermittently for 5-7 days and 6-8 days.
5. If there is deformity of upper lip and nostril, 1 ~ 2 years later, the parents are required to repair the deformity twice.