대한구순구개열학회지 (Korean Journal of Cleft Lip And Palate)
- 제15권2호
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- Pages.61-68
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- 2012
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- 1229-0734(pISSN)
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- 2586-2359(eISSN)
편측성 구순구개열 환자에 있어 구순성형술과 동반한 서골피판법 치험례
Simultaneous Repair of Unilateral Cleft Lip and Hard Palate with Vomer Flap : a Case Report
- 박형욱 (서울대학교 치의학대학원 구강악안면외과학교실) ;
- 송인석 (서울대학교 치의학대학원 구강악안면외과학교실) ;
- 김유진 (서울대학교 치의학대학원 구강악안면외과학교실) ;
- 김수호 (서울대학교 치의학대학원 구강악안면외과학교실) ;
- 천강용 (서울대학교 치의학대학원 구강악안면외과학교실) ;
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서병무
(서울대학교 치의학대학원 구강악안면외과학교실)
- Park, Hyong-Wook (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
- Song, In-Seok (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
- Kim, Eu-Gene (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
- Kim, Soo-Ho (Department of Oral and Maxillofacial Surgery, School of Dentistry, Seoul National University) ;
- Cheon, Kang-Yong (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)
- 발행 : 2012.12.30
초록
Cleft lip and palate is the most common congenital facial malformation and has a significant developmental, physical, and psychological impact on those with the deformity and their families. When treating the patients with unilateral cleft lip, many surgeons adopt the rotation advancement flap method originally developed by Millard, or the triangular flap technique developed by Tennison, Randall or the modifications of these techniques. Among these, Millard's rotation advancement flap method has its advantage in designing the flap using the patient's anatomic landmarks. For performing this rotation advancement technique, skillful operation is needed to obtain esthetically satisfactory results. Vomer flap sometimes is used to repair anterior hard palate in complete cleft lip and palate patients. Vomerine tissue is readily available in the vicinity of the palatal defect and elevation of the vomerine flap is relatively simple procedure. In this article, we will introduce the comprehensive vomer flap technique conjunction with primary lip closure and review the comparative studies of the outcome of simultaneous repair of cleft lip and cleft hard palate with Millard's rotation advancement method and vomer flap.