Repair of upper lip and nostril deformity after cleft lip and palate surgery

After cleft lip and palate, the upper lip and the nasal end of the nose are deformed. After the lip and palate repair, the nasal side of the nose is usually low, and the lower part of the nose is low, and the nasal column is obliquely split and short. The upper lip is short, without lip peaks and lip beads. These malformations affect the beauty of the shape after cleft lip and palate, and it is urgent to correct these deformities. Treatment of diseases: cleft lip and palate Indication After the lip repair, the nasal side of the nose is often left low and the lower part of the nose is lowered, and the nasal column is obliquely split and short. The upper lip is short, without lip peaks and lip beads. These malformations affect the beauty of the shape after cleft lip and palate. Contraindications Regional nerve block anesthesia (upper lip block in the inferior tibiofibular and lower lip in the mandibular hole). Preoperative preparation 1. The cutting should be accurate and tidy so that the cutting edges on both sides are equal in thickness. 2. The alignment should be accurate when stitching, and the red edges of the lips should be aligned. 3. The suture of the muscle layer should be firm and leave no gap to ensure a good healing. Surgical procedure One, 1. The affected side nasal base is designed with a y-shaped incision line, and the two arms of y are located inside and outside the outer wing of the nose, and the trunk is directed toward the nasal column. Design a v-shaped cut line at the nose. 2. Firstly cut the nasal base y-shaped incision, separate the triangular flap between the two arms, and advance the v-shaped suture to make the nostril narrow, round and fill the nasal base. Then cut the v-shaped incision at the bottom of the nasal end, reveal the nasal cartilage on both sides, and draw the suture, so that the nostril is oval and the same side of the healthy side, and at the same time, the nasal column can be partially extended, and finally the skin is sutured. The procedure can basically correct the abnormality of the nostrils, the flat nose, the empty base of the nose, the flatness of the nose, and the extension of the nasal column. two, 1. First, determine the midpoint a and the bb' points on both sides of the lip of the upper lip. The two points of bb' are 6 to 8 mm apart (ab=ab'=3 to 4 mm) and then perpendicularly at points b and b', respectively. The b and b' points are determined at 2 to 3 mm above it. Form the lip line on both sides of cbab'c'. 2. Cut according to the designed incision line, respectively cut off the skin of the two triangles of cba and ab'c', so that b and b and b'b' are relatively sutured, that is, a new lip peak is formed, and in most cases, lip beads can be formed at the same time. . If the lip is not obvious, the lip can be reappeared after the vy is formed at the point a. complication Loss of appetite is one of the causes of cachexia and a clinical manifestation of cachexia. As with the cachexia of other advanced cancers, patients may experience loss of appetite or anorexia, weight loss, fatigue, anemia, and fever, severe failure and even death.