Int J Stomatol

Inter J Stomatol ›› 2015, Vol. 42 ›› Issue (5): 503-506.doi: 10.7518/gjkq.2015.05.002

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First stage surgery for repair of unilateral cleft lip based on the design of lip nasal contour line

Yu Tao1, Li Yongcheng2, Zhang Lu3, Wang Xiaowei2, Shi Bing4.   

  1. 1. Dept. of Plastic Surgery, The Third People’s Hospital of Yunnan Province, Kunming 650011, China; 2. Dept. of Oral Maxillofacial Surgery, Kunming Operation Smile Charity Hospital, Kunming 650100, China; 3. Dept. of Oral Maxillofacial Surgery, Yunnan Affiliated Hospital of Kunming Medical University, Kunming 650051, China; 4. State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2015-02-24 Revised:2015-06-15 Online:2015-09-01 Published:2015-09-01

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Abstract:

Objective To discussion the methods and clinical efficacy of first repair surgery according to the lip nasal contour line design of unilateral cleft lip. Methods Use of contour line affected side lip nasal to design cleft lip to surgery operative incision and comprehensive repair for lip nasal deformity of 196 patients with first stage unilateral cleft lip, include:1) operation incision line design in the lip nasal contour line curved, overlapping and bend contours, easily concealed; 2) fully stripping of abnormal attachment tissue deformity; 3) affected side alar cartilage and mucosal inward, outward and downward rotation of the medial foot of alar cartilage, correction of deformities of alar cartilage; 4) the lip muscle overlap or mattress suture reconstruction affected side philtrum crest height; 5) keeping the integrity of philtrum crest skin. Observation of postoperative nasal lip effect and symmetry. Results Patients with ipsilateral upper lip shape, lip peak length, nostril size, the morphology of nasal columella, nose shape and nasal base collapse degree, were significantly improved compared with preoperative, nose and lip shape close to normal shape, postoperative contour line of the scar is not obvious, plastic effect satisfaction. Conclusion According to the lip nasal contour line design and comprehensive repair of unilateral cleft lip, can achieve good appearance effect.

Key words: unilateral cleft lip deformity, first stage repair, contour line design, comprehensive repair


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