Cleft lip and palate is the most prevalent congenital malformation of the face, and its causes can be divided into two aspects: genetic and environmental factors, and are related to nutrition, genetics, infection, endocrine and other factors.
Cleft lip can be divided into: 1, first degree, only the red lip is cleft.
2.Second degree, the cleft exceeds the red lip but does not reach the bottom of the nose.
3.Third degree, from the red lip to the bottom of the nose all cleft.
The first two are also called incomplete cleft lip, and the last one is also called complete cleft lip.
Unilateral cleft lip is operated at the earliest at 3-6 months of age and we usually use the Onizuka method or Millard II type of repair, while bilateral cleft lip is delayed for an appropriate period of time and usually requires a weight greater than 5 kg. Cleft palate surgery is usually performed around 1.5 years of age. Pre-operative care should be taken to avoid colds and runny nose and switching from sucking to spoon feeding.
The goal of cleft lip and palate surgery is to restore the normal function and shape of the mouth as much as possible. After surgery, secondary deformities of the lip and nose may still occur with growth and development.
In adulthood, those with lip and nose deformities may still choose plastic surgery to improve them. The decision of whether to perform second-stage repair surgery before adulthood has not been conclusive and is generally made by parents based on a combination of deformities, economic conditions and psychological status.
The cases are as follows.