Complete split from upper lip to bottom of nose

The fissure does not reach the bottom of the nose

Incomplete bilaterally

Complete bilaterally

Mixed sides

one time

Second time

three degrees

Cleft in the soft palate only, sometimes only in the palatal lobe

Partial cleft palate, complete cleft of the soft palate and partial cleft of the hard palate

There is a complete cleft from the palate vertically to the incisal foramen, diagonally outward until reaching the alveolar process, and the alveolar cleft is often accompanied by a cleft lip on the same side.

Often occurs simultaneously with bilateral cleft lip and free nasal septum

prone to aspiration and infection

Abnormal attachment of the tensor veli palatini and levator veli palatini muscles leads to decreased activity and changes in the opening ability of the middle ear Eustachian tube, affecting the middle ear and easily leading to otitis media.

12 to 18 months, 1 year of postoperative observation After the operation, training will begin one month later, and you will not be admitted to the hospital until you are four years old. Orthodontic treatment for deciduous teeth and replacement teeth Bone grafting is performed at the age of 9 to 11 years (when the canine root is 1/2 to 2/3 formed)

Second phase restoration

Orthodontics is usually done by age 16

The day before the operation, local skin treatment was performed. Wash the upper and lower lips and nose with soapy water, cut off nose hair, clean the mouth with normal saline, clean teeth, remove lesions, and rinse the mouth with gargle. Infants and young children should be given 10% glucose orally or 100-150ml of sugar water 4 hours before surgery. The surgery should be done in the morning as much as possible. Prophylactic antibiotics 0.5h to 1h before surgery Inject atropine at 0.1mg/3~4kg body weight 30 minutes before surgery, 3~4mg/kg for adults.

Before the child wakes up from anesthesia after surgery, he should lie down with his head to one side to avoid aspiration. Children under general anesthesia can be given a small amount of fluid or breast milk 4 hours after they wake up. Liquid food for 2 to 3 weeks, semi-liquid food for one week, and regular food after two weeks Cover the cleft lip wound with a dressing on the same day and absorb the secretions. After exposure therapy, you can apply antibiotics and keep it moist. If the tension is high, use No. 18 steel wire to bend it into a labial arch and reduce the tension to fix it. Give antibiotics within 24 hours Normal wound sutures can be removed in 5 to 7 days, and intraoral sutures can be removed later or until they fall off on their own.

Main reason: insufficient separation of mucoperiosteal flaps on both sides

Second-stage surgery 6 to 12 months