Korean Journal of Cleft Lip And Palate (대한구순구개열학회지)
- Volume 11 Issue 2
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- Pages.71-75
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- 2008
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- 1229-0734(pISSN)
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- 2586-2359(eISSN)
Functional Primary Closure of Unilateral Imcomplete Cleft Lip by Modified Delaire's Technique: Report of a case
Delaire 변법을 이용한 편측 불완전 구순열 환자의 기능적 일차 봉합술: 증례보고
- Lee, Byung-Ha (Division of Oral and Maxillofacial Surgery/Department of Dentistry, College of Medicine, Hanyang University) ;
- Park, Chang-Joo (Division of Oral and Maxillofacial Surgery/Department of Dentistry, College of Medicine, Hanyang University) ;
- Hwang, Kyung-Gyun (Division of Oral and Maxillofacial Surgery/Department of Dentistry, College of Medicine, Hanyang University) ;
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Shim, Kwang-Sup
(Division of Oral and Maxillofacial Surgery/Department of Dentistry, College of Medicine, Hanyang University) ;
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Choung, Pill-Hoon
(Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
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Seo, Byoung-Moo
(Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University)
- 이병하 (한양대학교 의과대학 치과학교실 구강악안면외과) ;
- 박창주 (한양대학교 의과대학 치과학교실 구강악안면외과) ;
- 황경균 (한양대학교 의과대학 치과학교실 구강악안면외과) ;
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심광섭
(한양대학교 의과대학 치과학교실 구강악안면외과) ;
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정필훈
(서울대학교 치의학대학원 구강악안면외과학교실) ;
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서병무
(서울대학교 치의학대학원 구강악안면외과학교실)
- Published : 2008.12.30
Abstract
The outcome of primary surgery for cleft lip is judged by its effects on the quality of oro-facial function and development. Many surgical techniques have been tried to obtain better results, however, Delaire introduced a technique of functional closure of the lip and nose, based on the findings of no true hypoplasia in the tissues either side of the cleft. In a seven-month-old Asian male patient with unilateral incomplete cleft lip, we carried out the primary closure by modified Delaire's technique. With no alveolar bone graft, the vertical incision on the nasal base was omitted in this patient because of his acceptable symmetry of nose. Also, a small Z plasty was added on the non-cleft side. The V-shaped incisions, whose notch was located on each side of the red vermilion, were designed and beveled incisions were performed for the rehabilitation of lip length and thickness, considering the postoperative wound contracture. We assured that this modification of Delaire's technique could be applied for various cases of primary closure of incomplete cleft lip.