【Preoperative diagnosis】Cleft lip and nasal deformity
【Physical examination】Patient female, 27 years old. The red lip tissue in the middle of the upper lip is missing, and the scars on the white lips are obvious. The cartilage of the left nasal wing is collapsed, the base of the nasal wing on the affected side is concave, the nasal column is skewed, the nasal septum is curved, the nostrils are of different sizes, and there are sunken scars on the base of the left nostril.
【Patient complaint】Patients feel that cleft lip and nose deformity affect their appearance for decades
【Name of surgery】Cleft lip and nose repair
【Surgical points】Cut an appropriate amount of rib cartilage and cartilage slices for later use. The original surgical scar is incised to repair the scar. The upper lip part of the tissue is folded and fixed with an absorbable thread, aligning the orbicularis orbicularis oriflorus muscle. Correct the deviated nasal septum, extend the nasal column with rib cartilage tablets, raise the tip of the nose, and pad the back of the nose with cartilage tablets, cartilage and rectus abdominis fascia pads, filling the left nasal base.
【Surgical effect】After surgery, the nasal base on both sides is of equal height, the nostrils are symmetrical, the nasal column is lengthened, the back of the nose and the tip of the nose are elevated, and the external morphology of the nose is good, and the patient is satisfied.
