During the first surgery, the lip and the nose are repaired at the same time (see surgery of the lip). For the nose, the nasal septum and the nostril wing are relocated in a good position. But the usual cicatricial retractions after any surgery degrade the initial aesthetic and functional result.
If we want to keep the result obtained at the end of the procedure, we must insert a nostril shaper for several months (photos 1,2,3).
We use the Koken ° Nocular Shaper (photos 4,5). It is semi-rigid silicone and is not aggressive. It is stable, because it is bilateral, but we add sterisrips° to fix it. It is perforated, and allows the child to breathe and suckle normally (photo 6).
It is worn between 4 and 6 months, and it can be changed with growth, there are 13 progressive sizes.
Child with a right cleft
cleft This cleft lip is complete with muscle and incomplete cutaneous
Child carrying a straight cleft cleft
Result in immediate postoperative with the points and the nasal shaper in place
Child carrying a straight cleft
cleft Result at 3 months after surgery
Nasal conformist seen from the front
Nasal conformal seen from above
Child carrying a straight cleft cleft
The child feeds on the breast. The nasal shaper is in place, it can very well suck because it breathes perfectly through the nose
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