Comprehensive Reconstructive Techniques For The Repair Of Secondary Defect Of Unilateral Cleft Lip

Objective Clinical basis according to the theory of application of integrated approaches to restoration of unilateral cleft lip nasal deformity. Sum up experience, further enhance the unilateral cleft lip deformity results.Methods A tatol of 28 patinets with the secondary unilateral cleft lip deformity were operated between 2007 to the March of 2010. Recording surgical repair approach in repairing of cleft lip. The clinical erformance of the composite lip and nose deformities, mainly to account for the majority of nasal deformity, showing a deflection nasal columella short, flat nose, loss of normal ipsilateral nose collapsed arch, Wide, flat nose and nostrils at the end of lower than contralateral, ipsilateral nose-pin (the base of base) outreach Down; lip deformity manifestations of upper lip scar weight and secondary ipsilateral lip high enough Lip weak, notch, or depression People in poor shape. Different abnormalities in different restoration methods, Especially with 2-3 kinds of different ways to repair a kind of joint deformity and muscular repair key application method, immediately after observation of results, in some cases for 3 months -3 years of follow-up. In conjunction with studying abroad in recent years about the secondary deformities of unilateral cleft lip reconstructive method, Relevant local case study of clinical anatomy, basic theory, combining with hot issues of the study was to investigate methods to improve the entire complex.Results Clinical restoration of secondary deformities of unilateral cleft lip patients in 28 cases . Integrated approach fix, anti-infection reatment after 3-5 days, a week stitches, wound No infections, no case flap necrosis. Silicone Support nostrils from March to June, immediately after effect and followed up for 3 months to 3 years, red lips round neat, bow lips, symmetrical, and races out of nest appearance ridge near normal,ipsilateral nose full and healthy lateral symmetry, nose and nasal floor elevation threshold obviously satisfied with the results.Conclusion Lip orbicularis muscle reduction and functional econstruction of the complete repair of the deformity has an important role. Complete separation of the muscles to increase margins on both sides of the lip height is a functional method of repairing cleft lip extension of understanding. Traditional method of restoration with autologous or artificial material filling can improve the abnormal result was satisfactory. Applications white lip scar flap and restoration of red lips filled depression, simple and effective.