How Do I Treat a Split Lip?

It can't be done with one or two surgeries. It should be solved with the cooperation of multi-disciplinary experts as the problems appear in each stage of the child's growth and development, called sequence therapy.

Cleft lip and palate treatment

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It can't be done with one or two surgeries. It should be solved with the cooperation of multi-disciplinary experts as the problems appear in each stage of the child's growth and development, called sequence therapy.

Chinese name

Cleft lip and palate treatment

treatment method

Cleft palate repair, etc.

Basic steps of surgery

Spot design, incision and stitching

Purpose

Restore the nostrils to be basically symmetrical

Including: 1. Cleft Lip Repair 3 ~ 6 months

Cleft palate repair 1 to 2 years old

Alveolar cleft repair 9 to 11 years old

Pharyngoplasty 5 ~ 6 years old

Nasal labial deformity treatment for 13 to 15 years

Treatment of jaw developmental abnormalities after 18 years of age

2. Orthodontic treatment:

12 ~ 14 years old, before and after alveolar bone grafting

3. Speech therapy: 4 ~ 6 years old

4. Psychotherapy: Depending on psychological development

5. ENT treatment:

The specific method of cleft lip and palate scar repair is to reset the ectopic orbicularis orbicularis muscle, restore the continuity of the muscle, and achieve functional repair. Pay attention to the normal height of the cleft lip repair, centered in the human, and symmetrical on both sides of the upper lip. Cleft lip patients are often accompanied by nasal deformities. At the same time, nasal column deflection should be corrected, the height of the nasal column can be increased, the collapse of the nasal wing can be corrected, and the nostril can be restored to be basically symmetrical.

The basic steps of cleft lip and palate scar repair are: fixed-point design, incision and suture.

1. Fixed-point design is the first step in the repair of cleft lip and scar. First, find the point of the lip red edge. Find the lip peak point D and the lowest point C in the person on the healthy side lip red edge, and then press CB = CD to determine the point B. Set the B point at the thickest part of the affected lip. When repairing the cleft lip scar, the two points B and B are finally stitched together to form the peak point of the lip on the affected side. Measure the two basic data from the root of the nasal wing to the root of the nasal column, and measure the width of the bottom of the normal nostril and the bottom of the affected nostril, respectively. The difference between the two is X. The h was measured from the midpoint of the healthy side of the nose to the point D, which is normal lip height. The height of the upper lip that should be recovered after the cleft lip is repaired. Determine the other points, and repair the cleft lip and cleft scars by setting points A and A on the two sides of the crack on the affected side of the nose. Make AA equal to the number X of the difference between the widths of the bottoms of the nostrils. After making AA two-point stitches, the nostrils on both sides are equal. Connect AB. Subtract AB from normal lip height h to get y, which is the lip height that needs to be increased on the affected side. At point B, make BE approximately = y and be nearly parallel to the lower lip lip. Let A be the center of the circle AB and radius B, B be the center of the circle y (the height of the lip to be increased) be the radius, and make an arc and intersect B (preferably BB is close to the lip red edge). Take the two points of BB as the center of the circle, take BE as the radius, and make an arc at E. Connect the lines AB, BE, and EB (be careful not to draw the BB line, no cut is made here). After correcting each point, use a hypodermic needle dipped in melanine to pierce the skin, draw a line, and fix it with iodine.

2. Incision and suture are important steps for the repair of cleft lip scars. Cleft lip scar repair requires meticulous, lightweight, reduced trauma, accurate incision, and neat stitching. When cutting, use your fingers to squeeze the upper lip outside the incision to reduce bleeding. Cut AB, BE, AB, BE, and EB in order according to the design line. After the incision, the upper lip of the healthy side can be lowered, and a triangular crack is opened at the BE. A BEB triangular tissue flap formed on the affected side is inserted into this fissure. The wound line of AB line is opposite to AB. Layer by layer suture. Do cleft lip scar repair according to the situation using embedded or Z-shaped dual triangular valve method to increase the fullness of lip red. For those with a nose-shaped shape, it is generally advisable to postpone radical cleft scar repair after the age of 13.