Common congenital cleft lip as oral and maxillofacial deformities, often with cleft palate and cleft lip prevalence was 1.82‰. As a result of the direct consequences of cleft lip with a serious face and functional defects.With the growth of children, cause serious psychological disorder in children with cleft lip, bring children family brought a heavy burden.Patients with cleft lip treatment throughout the whole process from birth to adulthood, surgery is the only effective treatment, important link, the effect of the treatment, as well as the children often accompanied by a variety of developmental problems and for the patient’s quality of life, psychological development, the formation of self-awareness, social status.According to the fracture site, at present the cleft lip can be divided into:unilateral cleft lip and bilateral cleft lip.Unilateral complete cleft lip, is a kind of classification of unilateral cleft lip, often with cleft palate, alveolar cleft.Reconstructive surgery is the only way to treatment of unilateral complete cleft lip.The records of cleft lip repair method in our country, as early as the qin dynasty, but there is no a unified, the method has the advantages of being recorded.It was not until the late 20th century, gradually appeared a lot of cleft lip repair methods, including Tennison and Millard method is representative of repairing unilateral cleft lip surgery .As a widely used on the current clinical surgical method, triangle flap method (Tennison method) and rotary propulsion method (Millard method) the two surgical methods each have advantages and disadvantages, this topic mainly studies the huaxi improvement method and improved method of Mohler unilateral complete cleft lip repair, and observe the reconstructive effect of postoperative.Objective:to study the huaxi improvement method and improved Mohler method at the beginning of the unilateral cleft lip treatment effect.Methods:100 patients with unilateral complete cleft lip were randomly divided into two groups.Each group of 50 cases respectively, respectively for the first time by using huaxi modified method and the improved Mohler line of cleft lip repair.Postoperative early white lip volume, margin and Cupid’s bow lips red, nostril symmetry dome appearance high, lips, nose, nose footing location and the evaluation of the repair of concave and crest of analysis.Results:the statistical method Preson chi-square test analysis phase correlation and linear trend to compare two groups of children.Early postoperative follow-up of 12 months, according to the results of huaxi improved method in early nostrils symmetry and nose shape effect significantly (P <0.05);By modified Mohler rule in recovery, high edge effect is obvious (P<0.05);Huaxi improved after a spell of nasal labial ministry symmetry index improved Mohler method is obviously better than the other, with statistical difference (P<0.05).Conclusion:the modified method to repair the overall treatment efficacy of huaxi is better than the improved Mohler method.Now according to the clinical anatomy of the cleft lip makes surgery option of a single special operation Mohler;And we can try a combination of, also found suture technology and skin incision design in the position in repairing effect are equally important. |