Korean Journal of Cleft Lip And Palate (대한구순구개열학회지)

Korean Cleft Lip and Plate Association (대한구순구개열학회)
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Quadrilateral Flap Technique Applied for Complete Cleft Lip Patients - Report of cases -

완전구순열 환자에서 사각피판법의 적용 - 증례보고 -

  • Nam, Il-Woo (Department of Oral and Maxillofacial Surgery, Graduate School, Seoul National University) ;
  • Lee, Ju-Hwan (Department of Oral and Maxillofacial Surgery, Graduate School, Seoul National University) ;
  • Lee, In-Woo (Department of Oral and Maxillofacial Surgery, Graduate School, Seoul National University) ;
  • Seo, Byoung-Moo (Department of Oral and Maxillofacial Surgery, Graduate School, Seoul National University)
  • 남일우 (서울대학교 대학원 구강악안면외과) ;
  • 이주환 (서울대학교 대학원 구강악안면외과) ;
  • 이인우 (서울대학교 대학원 구강악안면외과) ;
  • 서병무 (서울대학교 대학원 구강악안면외과)
  • Published : 2009.12.30
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Abstract

Quadrilateral flap technique for primary cheiloplasty in patients with cleft lip was initially developed by Hagedorn in 1884. After Le Mesurier presented this procedure in 1940's, many surgeons adopted this technique for clinical advantage of reconstruction of Cupid's bow and lesser amount of tissue discarding than straight line technique. However, owing to its drawbacks such as sacrifice of Cupid's bow and prominent scar on philtral ridge, other techniques like Tennison's triangular flap and Millard's rotation-advancement flap have gradually taken its place. Nevertheless, some clinicians like Dr. Wang has modified this quadrilateral flap technique for better clinical outcomes. In this report we present 3 cases of unilateral complete cleft lip patients who underwent primary cheiloplasty with favorable outcomes based on Dr. Wang's modified quadrilateral flap technique.

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