• 제목/요약/키워드: Cleft Lip and Palate

검색결과 531건 처리시간 0.021초

Trend of health care utilization of cleft lip and/or palate in Korea during 2007-2016

  • Hong, Mihee;Baek, Seung-Hak
    • 대한치과교정학회지
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    • 제48권4호
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    • pp.216-223
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    • 2018
  • Objective: This study is performed to investigate the trend of health care (HC) utilization among cleft lip and/or palate (CL/P) during 2007-2016 by using data from the Korean National Health Insurance Service (KNHIS). Methods: The KNHIS data were reorganized to count a specific patient only once for a specific year. Cleft type (cleft lip [CL], cleft palate [CP], and cleft lip and palate [CLP]), sex, and age at HC utilization were investigated. The study period was divided into the first half (2007-2011) and the last half (2012-2016). The utilization number and rate per 1,000 population were calculated for the total population and for new-born patients. Independent t-test and one-way analysis of variance were used for statistical analyses. Results: The total CL/P population (n = 48,707) comprised 19.2% CLP, 35.5% CL, and 45.3% CP (CLP < CL < CP; p < 0.001). Their HC utilization rate increased from 0.066 in 2007 to 0.118 in 2016. The new-born patient population (n = 7,617) comprised 18.6% CLP, 30.4% CL, and 51.0% CP (CLP < CL < CP; p < 0.001). Their HC utilization rate increased from 1.12 in 2007 to 1.74 in 2016. An examination of the utilization number and rate among new-born patients revealed CP exhibited a female-dominant pattern (all p < 0.01), while CL and CLP exhibited a male-dominant pattern (all p < 0.01). However, utilization number showed no difference by sex and cleft type between 2007-2011 and 2012-2016. Conclusions: These results might serve as a guideline for HC utilization among patients with CL/P.

Delaire 법을 이용한 구순구개열 환자의 구순 및 코 교정수술 (Functional repair of the cleft lip and palate using Delaire method)

  • 송인석;이호;이수연;이일구;명훈;최진영;이종호;정필훈;김명진;서병무
    • 대한구순구개열학회지
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    • 제9권2호
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    • pp.93-100
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    • 2006
  • 본 증례에서는 2명의 불완전, 그리고 완전구순열 환자를 Delaire의 개념에 의하여 수술을 시행 하였다. 불완전 구순열 교정은 코 교정 후 좌우 비대칭을 해소할 수 있었으나 완전구순구개열의 환아에서는 코의 비대칭성을 회복하기 위해 동시 수술을 시행하였으나 좌우 비대칭성은 수술 후에도 관찰할 수 있었다. 본 증례의 경우 환자의 경제적 그리고 사회적 이유로 인해 수술이 지연된 환자로 수술에 난이도는 비교적 높지 않았던 경우로 비강전정부위와 비익부위, 그리고 구륜근 등의 피부 하방에 비정상적으로 배열된 근육의 박리와 재위치를 이루어주었던 경우였다. 술 후 평가를 위한, 심미, 발음, 기능과 정서적 발달 정도를 검사하여야 하나 지리적 관계로 재평가가 어려운 점이 예상된다.

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Delaire 개념에 기반한 선천성 구순열의 치료 II: 기능적 구순비성형술 (Congenital Cleft Lip Repair Based on Delaire Philosophy II: Functional Cheilo-rhinoplasty)

  • 김성민;서미현;어미영;이석근;명훈;이종호;최진영
    • 대한구순구개열학회지
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    • 제13권2호
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    • pp.63-76
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    • 2010
  • After introduction of Delaire's basic philosophy, to consider the normal and pathologic anatomy, the role of some structures, such as nasal septum, musculature, and tongue, and some functions, such as dental occlusion or nasal respiration, which play important roles in maxillary and particularly premaxillary growth, on the Korean Journal of cleft lip and palate in 2009, Delaire's primary functional cheilorhinoplasty (FCR) in the unilateral and bilateral cleft lip patients was summarized and introduced according to already published literatures and lectures. This paper will be the second publishment of Delaire philosophy with Korean language.

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Our Method of Cleft Lip Repair

  • MORI Yoshiyuki;TAKATO Tsuyoshi
    • 대한구순구개열학회:학술대회논문집
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    • 대한구순구개열학회 1998년도 종합학술대회
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    • pp.35-35
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    • 1998
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구순구개열 환자의 치아 선천결손 유형과 관련 유전자에 관한 고찰 (Hypodontia Pattern and Genetic Association in Cleft Lip and Palate Patients)

  • 안효원;백승학
    • 대한구순구개열학회지
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    • 제10권2호
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    • pp.81-88
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    • 2007
  • Cleft lip and palate (CLP) is one of the most prevalent congenital craniofacial anomalies. It has a significantly greater incidence of dental abnormalities in number, size, shape, and eruption of the teeth. Knout-out mouse model can identify several genes which play an important role in tooth agenesis. Since disruption of these genes has been confirmed to result in tooth agenesis in humans, CLP associated with hypodontia may be the best models for isolated tooth agenesis. According to the studies of dental abnormalities in CLP, the severity of dental defect is known to be influenced by the CLP phenotype. The cumulative data obtained from mouse and human genetic studies indicated that MSX1, PAX9 and AXIN2 are considered as candidate genes in non-syndromic hypodontia, while Shh, Pitx2, Irf6, p63 and EDA pathway genes are involved in syndromic one. We expect that genetic approach of CLP can offer the basis for tooth regeneration and be a new target in hypodontia therapy.

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