Cleft lip and cleft palate are relatively common diseases, usually 1 in 500, and the treatment pattern is now basically fixed internationally.
0-2 months Pre-surgical correction (the latest technology) Our hospital has the latest technology, which is currently only carried out by the 9th Hospital in Shanghai and several craniofacial centers in the United States. It usually starts at about 2 weeks of age for newborns, and the two sides of the cleft lip are gradually pulled together through digital methods, and then gradually come together by 3 months of age, with the best results after surgery. You usually need to come to the hospital 2-3 times to get it done, so don’t miss it.
There are 3 benefits as follows.
1. a radical improvement in the appearance of the nose.
2.Significantly shorter operation time.
3, the scar after the surgery is significantly reduced (the closer the split part is, the less tension, the smaller the scar)
4. The alveolar can be repaired at the same time.
By gradually bringing the alveolar bone together at the same time, the cleft can be brought together after 3 months, so that the alveolar bone can be repaired at the same time as the 3-month surgery, and there is a 70% chance of avoiding a single alveolar bone surgery.
For cleft lip surgery at 3 months of age, a blood test with a hemoglobin of 10 grams or more is required to repair the nose and gums at the same time.
The nose and lip should be done together, which is now recognized by the vast majority of doctors abroad and missed by many patients in China for historical reasons. I was a visiting scholar from the best cleft lip doctor in the United States and saw the highest international level of treatment results. After the surgery, you can hardly see the difference from normal after adulthood, and now the domestic level is basically about 10 years behind.
Nose: In China, for historical reasons, at the beginning of the founding of the country, we could not train enough plastic surgeons, so many places have oral surgeons to do the surgery, and it is hard to demand doctors who do not do cosmetic nasal surgery to fix the shape of the nose at the same time.
8-10 months To have cleft palate, it is required to have a hemoglobin of 10 grams or more at the time of blood test, and never to have a cold before the surgery.
3 years old Have throat wall surgery to improve articulation and voice training.
5-6 years You can have your upper lip and nose repaired once to make it easier to go to school without being discriminated by your classmates.
9-11 Be sure to have the alveolar fissure repair surgery because the hole is above the tooth, invisible from the outside, and many parents miss it. After this time, it is best to see a professional orthodontist, who must have worked with plastic surgery, otherwise the orthodontic program will be the opposite, and the teeth will be aligned but the appearance will still not look good.
16-18 Must first do facial shape, bone surgery, never just do the body surface, lip scar repair is good, the face is still concave mouth is still deflated, it will lose the meaning of beauty.
As for the correction of the lip and nose, generally at 3 months, 1 year old, 3 years old when other parts of the repair with a little, so that the cartilage in the correct position to develop, in addition to the school before the appropriate repair can be.
Repair of secondary deformities of cleft lip.
The current international standard is 7 surgeries from 0 to 18 years old, with gradual repair to eventually obtain a more desirable result.
In the early days of my medical practice when domestic economic conditions were limited, it was generally remarkable to do 3 times, but in the last decade I have seen patients who were generally able to insist on 5 times, so the results are getting better and better, and the best cases can pass the military conscription physical examination.
The number of surgeries is best not to lack or jump, parents generally pay more attention to the body surface condition, first and as long as the physician does outside surgery. There are actually great hidden dangers. For example, the nose is asymmetrical, the collapse of the nose if not to solve the local bone defect is the edge of the fish, lip scar surgery first to solve the muscle alignment, just like building a house to build the foundation first, the surgery should be from the inside to the outside.
If there is a hole at the root of the tooth, and the bone below the nose is lower than this chemistry, it is recommended that the current bone be filled. Cutting.
Generally 3 months to do surgery, 6 years old surgery, 9-10 years old to do alveolar cleft surgery, 14 years old the head has developed 90%, 16 years old can be considered orthognathic surgery. 14 years old after you can do a more classic mouth rhinoplasty surgery, can be corrected from 60 points at a time to 80 points, and then gradually adjusted to more than 90 points through several small surgeries, but the current technology can not reach 100 points. The upper lip scar cannot be completely removed, women can wear makeup, and men can leave a small amount of beard.
The gap between Chinese and foreign restoration.
Nose: In China, for historical reasons, at the beginning of the founding of the country, it was not possible to train enough plastic surgeons, so many places have oral surgeons to do the surgery, and it is difficult to demand doctors who do not do cosmetic nasal surgery to repair the shape of the nose at the same time.
Alveolar: abroad it is repaired at the same time of cleft lip surgery, which can avoid 70% of re-operations and at the same time the morphology is good.
Lip: Inadequate repair of the inner part of the lip.
Cost of surgery: Free of charge for life in foreign countries, many repair surgeries in China have to pay for themselves.