대한치과의사협회지 (The Journal of the Korean dental association)

  • 제55권12호
  • /
  • Pages.862-869
  • /
  • 2017
  • /
  • 0376-4672(pISSN)
  • /
  • 2713-7961(eISSN)
대한치과의사협회 (The Korean Dental Association)
권호 표지

성장기 구순구개열 환자의 수술치료의 최신지견

Recent Advances in Surgical Treatments for Growing Patients with Cleft

  • 박영욱 (강릉원주대학교 치과대학 구강악안면외과학교실)
  • Park, Young-Wook (Department of Oral and Maxillofacial Surgery, College of Dentistry, Gangneung-Wonju National University)
  • 발행 : 2017.12.01
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Cleft lip and palate is the most common teratologic condition of oromaxillofacial units, probably associated with genetic and environmental causes. The goal of cleft surgery is to optimize facial esthetics and stomatognathic function while minimizing growth disturbances from surgical intervention. In this article, the author suggests the recent surgical strategies that minimize cleft nasal deformity and midfacial skeletal constriction. From the author's surgical experiences and literature reviews, only considerate surgeries would achieve functional improvement and facial esthetics in patients with cleft lip and palate.

키워드

참고문헌

  1. Farronato G. How various surgical protocols of the unilateral cleft lip and palate influence the facial growth and possible orthodontic problems? Which is the best timing of lip, palate and alveolus repair? Literature review. Stomatologia, Basic Dental and Maxillofacial Journal 2014; 16:53-60.
  2. Ghoddousi H. Comparison of three methods of facial measurement. Int J Oral Maxillofac Surg 2007; 36:250-258. https://doi.org/10.1016/j.ijom.2006.10.001
  3. Brons S. Methods to Quantify Soft-Tissue Based Facial Growth and Treatment Outcomes in Children: A Systematic Review. PLoS ONE 2012; 7(8): e41898. doi:10.1371/journal.pone.0041898
  4. Kuijpers MAR. Three-dimensional Imaging Methods for Quantitative Analysis of Facial Soft Tissues and Skeletal Morphology in Patients with Orofacial Clefts: A Systematic Review. PLoS ONE 2014; 9(4): e93442. doi:10.1371/journal.pone.0093442
  5. Brons S. Development and reproducibility of a 3D stereophotogrammetric reference frame for facial soft tissue growth of babies and young children with and without orofacial clefts. Int J Oral Maxillofac Surg 2013; 42:2-8. https://doi.org/10.1016/j.ijom.2012.07.006
  6. Desmedt DJ. Nasolabial symmetry and esthetics in cleft lip and palate: analysis of 3D facial images. Clin Oral Invest 2015; 19:1833-1842. https://doi.org/10.1007/s00784-015-1445-0
  7. Fisher DM. Unilateral cleft lip repair: an anatomical subunit approximation technique. Plast Reconstr Surg 2005; 116:61-71.
  8. Grayson BH. Presurgical nasoalveolar molding in infants with cleft lip and palate. Cleft Palate Craniofac J 1999; 36:486-498. https://doi.org/10.1597/1545-1569(1999)036<0486:PNMIIW>2.3.CO;2
  9. Lu TC. Primary Septal Cartilage Graft for the Unilateral Cleft Rhinoplasty. Plast Reconstr Surg 2017; 139:1177-1186. https://doi.org/10.1097/PRS.0000000000003297
  10. Mulliken JB. Repair of bilateral cleft lip: review, revisions, and reflections. J Craniofac Surg 2003;14:609-618. https://doi.org/10.1097/00001665-200309000-00003
  11. Mulliken JB. Bilateral cleft lip. Clin Plast Surg 2004; 31(2):209-220. https://doi.org/10.1016/S0094-1298(03)00130-5
  12. Ye B. A comparative cephalometric study for adult operated and unoperated cleft palate patients. J Orofac Orthoped 2015; 43(7):1218-1223.
  13. Friede H. Maxillary growth controversies after two-stage palatal repair with delayed hard palate closure in unilateral cleft lip and palate patients: perspectives from literature and personal experience. Cleft Palate Craniofac J 2007; 44:129-136. https://doi.org/10.1597/06-037.1
  14. Raddy RR. Maxillofacial growth and speech outcome after one-stage or two-stage palatoplasty in unilateral cleft lip and palate. A systemic review. J Craniomaxillofac Surg 2017;45(6):995-1003. https://doi.org/10.1016/j.jcms.2017.03.006
  15. Furlow LT Jr. Cleft palate repair by double opposing Z-plasty. Plast Reconstr Surg 1986;78:724-736. https://doi.org/10.1097/00006534-198678060-00002
  16. Losee JE. Acelluar dermal matrix in palatoplasty. Asthet Surg 2011; 31(7 suppl):108S-115S. https://doi.org/10.1177/1090820X11418216
  17. Liao YF. Vomer flap for hard palate repair is related to favorable maxillary growth in unilateral cleft lip and palate. Clin Oral Investig 2014; 18: 1269-1276. https://doi.org/10.1007/s00784-013-1084-2
  18. Dao AM. Cleft Palate Repair, Gingivoperios teoplasty, and Alveolar Bone Grafting. Facial Plast Surg Clin N Am 2016; 24:467-476. https://doi.org/10.1016/j.fsc.2016.06.005
  19. Santiago PE. Management of the Alveolar Cleft. Clin Plastic Surg 2014; 41:219-232. https://doi.org/10.1016/j.cps.2014.01.001
  20. Park YW. Use of mandibular chin bone for alveolar bone grafting in cleft patients. Maxillofac Plast Reconstr Surg 2016; 38:45-51. https://doi.org/10.1186/s40902-016-0091-z
  21. Sato Y. Success rate of gingivoperiosteoplasty with and without secondary bone grafts compared with secondary alveolar grafts alone. Plast Reconstr Surg 2008; 121: 1356-1367. https://doi.org/10.1097/01.prs.0000302461.56820.c9
  22. Wang YC. Comparative Outcomes of Primary Gingivoperiosteoplasty and Secondary Alveolar Bone Grafting in Patients with Unilateral Cleft Lip and Palate. Plastic and Reconstructive Surgery 2016; 137:218-227. https://doi.org/10.1097/PRS.0000000000001897