临床医学30 先天性唇面裂和腭裂课件.ppt

Contents Secondary Nasolabial deformities Cleft Palate Secondary Nasolabial Deformities Why ? Serious deformities Unbalance of facial growth Error in operation Shortcoming of operation design Infection and Split open Timing of Operation Facial growth have finished Clinical sign Shorten or lengthen of upper lip height Shorten or extension of upper lip width Deformities of vermilion Deformities of nose Scar Shorten or lengthen of upper lip height Clinical sign Shorten or lengthen of upper lip height Shorten or extension of upper lip width Deformities of vermilion Deformities of nose Scar Shorten or extension of upper lip width Clinical sign Shorten or lengthen of upper lip height Shorten or extension of upper lip width Deformities of vermilion Deformities of nose Scar Broken white roll Much or little tissue Abnormal cupid’s bow Clinical sign Shorten or lengthen of upper lip height Shorten or extension of upper lip width Deformities of vermilion Deformities of nose Scar Short nose columella Clinical sign Shorten or lengthen of upper lip height Shorten or extension of upper lip width Deformities of vermilion Deformities of nose Scar Scar Anesthesia General ：hard cooperation complicated Local ：good cooperation simple Preparation of operation Body：blood test、x-ray of chest Local：no rash and inflammation Operation method Suspending of nose ala “V－Y”plasty “Z”plasty Suspending of nose ala “V－Y” plasty “V－Y” plasty How to avoid secondary nasolabial deformities Good design of operation Skillful operation Good nursing Cleft Palate Embryogenesis Etiology Hereditary factors Muscle Palatopharyngeus muscle Palatoglossus muscle Levator veli palatini muscle Tensor veli palatini muscle Uvula muscle Anatomy Clinical Classification Cleft of soft palate Incomplete cleft palate Unilateral complete cleft palate Bilateral complete cleft palate Other (Obsolete cleft palate, Congenital fistula…) Cle