[Pre-operative diagnosis]: The right cleft lip and nasal deformity is secondary to the cleft lip surgery
[Specialty situation]: On the front, there is a very obvious depression scar under the nostril on the right (affected side), and the color depression is severe. The basal of the affected side is collapsed, the left and right nose wings are asymmetric, and the nose tip is round and blunt and not protruding. The peak of the affected lip is moved upward, the local red lips are thick, and the color difference is obvious. Looking at the upper side, the nasal septum deviates to the affected side, resulting in serious asymmetry between the affected nostrils and the healthy nostrils, collapse of the nostrils and ridges on the affected side, and expand the nose wings outside.
[Patient complaint]: The patient is 15 years old this year and has not reached the best repair age. However, nostril deformities cause him to experience poor breathing. In addition, the scar is obvious, which affects the psychology of communicating with people at school. Therefore, repair surgery is performed in advance to improve ventilation disorders and fade scars.
[Surgery name]: Lip and nasal deformity repair
[Surgery process]: General anesthesia . Take the 6th section of the rib cartilage to fully loosen the bilateral nasal cartilage and nasal septum cartilage, expose the nasal cartilage, cartilage the transplanted sheet into a contour that fits the nose dorsal, implant it into the nasal dorsal, and build the support point of the nasal column and the nasal tip support. Take the periosteum to fill the nasal base to make the nasal base of both sides, correct the nasal cartilage, and adjust the nasal size. The scars at the bottom of the nose were removed, the orbicularis orobi muscle was folded and sutured, and the red lip part was subjected to Z-flap shaping to correct the lip peak apex.
[Surgery effect]: After , the tip of the nose is raised by 3mm, the protrusion of the bridge of the nose increases, the nasal base returns to symmetry, and the size of the nostrils on both sides is basically the same. The shape of the ridge in the human middle is slightly raised, the lip peaks are restored to the same height, the lip arch lines are smooth and round, the scars of the red lips become lighter and narrower, and the mucosa of the red lips are strong, and will become lighter and lighter in the future.
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