Plastic surgery for cleft lip

1, determine the position of the incision. Draw all the incision designs of different surgical methods on the lips and nose, and then dip the injection needle in Meilan liquid to stab the skin at several key points of the design line.

2. cut the crack. During incision, the operator puts the middle finger of his left hand against the oral mucosa of the incision, and tightens or tightens his lips with his index finger and thumb to make the tissue tense and facilitate incision. Before incision, lip forceps or suture can be used to compress the labial artery near the upper lip angle on both sides to reduce bleeding. Of course, you can also pinch the labial artery with your fingers to achieve the same goal.

3. After incision, in order to reduce the tension of wound suture, it is necessary to make a relaxed incision on both alveolar ridges and a blunt dissection on periosteum. The anatomical range of the affected side is wider than that of the healthy side, including buccal soft tissue and alar fissure. For complete cleft lip, the attachment point between the external angle of the alar and the inferior turbinate should be cut off, so that the external foot of the alar can be fully free, which is convenient for better reduction, and finally the alar can reach bilateral symmetry.