[Study on repair approach of bilateral cleft lips and nose deformity].
OBJECTIVE
To detect the operative technique and aesthetic problem of reconstruction to deformity of bilateral cleft lip.


METHODS
From March 2003 to December 2004, 26 patients with bilateral cleft lip were treated, aged 10 months to 11 years. Of 26 patients, there were 13 bilateral complete cleft lip and palate, 9 bilateral incomplete cleft lip and 4 mixed cleft lip with unilateral complete cleft palate. The chief design principle was keeping the length of prolabium. During operation, sufficient dissociation was made in the base of the ala base and orbicularis oris muscle to reconstruct these structures. The circle suture was made for the bilateral orbicularis oris muscle. The shape of vermilion was achieved by lateral red lip muscle flap and simultaneous simple rhinoplasty was performed.


RESULTS
Primary healing of the incisions was achieved in all cases. After the 10 days-3 months follow-up, the results were satisfactory in the width and chubbiness of the nose bottom, the shapes of nostril and Cuspid's bow were good without whistle deformity. The appearance of upper lip was good in either dynamic or static state.


CONCLUSIONS
Excellent shapes and function of the nose and lip, and opportunity for two-stage repair could be obtained with this method, which being believed important methods for the primary repair of bilateral cleft lip.
Song
Qinggao
Q
Department Oral and Maxillofacial Surgery, Zunyi Medical College, Zunyi Guizhou, PR China. gzzysqg@sina.com
Shi
Bing
B
Zheng
Qian
Q
D002648:Child; D002675:Child, Preschool; D002971:Cleft Lip / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D009666:Nose / Q000002:abnormalities*; D019651:Plastic Surgery Procedures / Q000379:methods*