Timing and indications for repair of cleft lip and nasal deformities

We all know that patients with congenital cleft lip are able to improve part of their appearance after completing cleft lip repair, but as the child grows and develops, facial organs such as the nose and other parts of the face will also have a dynamic development process, and during this process, new nasal deformities of varying degrees will usually appear, such as collapsed nose, small nostrils, nasal vestibular folds, short nasal columella, wide nasal base, bilateral asymmetry, etc., and some nasal deformities do not stabilize until after the patient’s development has ceased. Cleft lip nasal deformity, which is the trickiest part of cleft lip repair, cannot be solved by simple surgical treatment for complex nasal deformities. In these cases, different deformity repair procedures are needed at different times of the child’s development. Timing and indications for repair of cleft lip and nasal deformity The timing of repair of cleft lip and its indications are related to the age of the child, because cleft lip is a congenital deformity, so several procedures need to be designed during the repair surgery: 1. When repairing the cleft lip in the early stage, the development of the nose in the infancy period (i.e., between the ages of 3 months and 1 year) is very weak, and the deformity of the nose in the first stage of the surgery needs to be repaired with simple minimally invasive methods, except for repairing the cleft lip. In stage I surgery, apart from cleft lip repair, the deformity of the nose needs to be repaired in a simple and minimally invasive way, so as to let it develop in a better direction and to provide better conditions for obtaining a satisfactory nasal shape in the future as well as for stage II repair. Stage II surgery is usually performed at the age of 9 years, using bone grafting to achieve better subsequent development and a hard primary support. Stage III surgery is usually performed after secondary school when the nose is more or less fully developed, and comprehensive rhinoplasty is required at this stage to maximize the normal nasal shape. With the advances in rhinoplastic surgery, the treatment of cleft lip and nasal deformities has also advanced, and many rhinoplastic surgery techniques and concepts have been applied to the treatment of cleft lip and nasal deformities. Currently, the most common procedure used in this type of surgery is total autologous rib cartilage, which, as the name suggests, is taken from one’s own rib cartilage to repair the nose. Many people are afraid of autologous rib cartilage rhinoplasty, worrying about the health effects of rib cartilage removal, but in fact, this is not necessary. This type of rhinoplasty is now very mature and will not affect your health in the future. Advantages of autologous rib cartilage: abundant tissue: can be used to raise the dorsum of the nose, the tip of the nose, the extension of the nasal columella, etc.; plasticity: not only has a certain degree of hardness and is very flexible, can be carved out of the ideal shape, length, thickness and curvature, after the operation, feel natural, the effect is good. Wide application: it can be used to make beautiful nasal bridge and nasal tip, and also used to extend the nose, which can be made into nasal column support rod, nasal cartilage and nasal depression filler diaphragm. Active material: easy to become alive, no rejection phenomenon, low absorption rate in human body, will not top through the skin, good compatibility with the nose. With the advancement of medical science and technology, our specialists have been conducting research on the revision and beautification of the nose for those in need, so if you or someone close to you has a need in this area, don’t hesitate to start here.