• Title/Summary/Keyword: Cleft surgery

Search Result 1,332, Processing Time 0.024 seconds

삼각 피판법을 이용한 편측성 구순열의 교정 -증례보고- (Correction of The Unilateral Cleft Lip Using Triangular Flap Technique - Report of cases -)

  • 이주환;이인우;서병무
    • 대한구순구개열학회지
    • /
    • 제12권1호
    • /
    • pp.41-46
    • /
    • 2009

  • Historically, various techniques to correct the deformity of lip and nose in functional and esthetic ways were developed and applied in dealing the patients with cleft lip. When treating the patients with unilateral cleft lip, many surgeons adopt the rotation-advancement method originally developed by Millard, or the triangular flap technique developed by Tennison, Randall or the modifications of these techniques. Among these, triangular flap technique has its advantage in designing the flap using the patient's anatomic landmarks. It enables less skillful operator to perform this technique relatively easily and produce reasonable results. In this report we present 8 cases of unilateral complete cleft lip and 3 casesof unilateral incomplete cleft lip. They all underwent primary cheiloplasty based on triangular flap technique, and functional, esthetic outcomes were favorable.

  • PDF

구개열 환자의 치조열 골이식의 평가 (Evaluation of an Alveolar Bone Graft for Cleft Patients)

  • 노량석;김종배;진병로;권대근;이상한
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • 제33권4호
    • /
    • pp.314-318
    • /
    • 2011

  • Purpose: The purpose of this study is to evaluate the results of alveolar bone grafting in patients with various types of cleft lip and to compare the success rates according to the lateral incisors and canines. Methods: The postoperative radiographs of 20 patient with a cleft lip and alveolar process alone (CLAP), complete unilateral cleft lip and palate (UCLP) and complete bilateral cleft lip and palate (BCLP) were retrospectively analyzed. The alveolar bone height was classified according to ${\AA}$byholm (1981) and Bergland (1986) and we evaluated the dentition at the time of surgery and the existence of a lateral incisor and impacted canines. Results: 16 (80%) of the 20 patients were assigned to Type I & II and they were considered successful. In the UCLP group, the success rate was significantly better than that of the UCLP and BCLP groups. The success rate was significantly better than when the cleft was grafted with the existence of a lateral incisor and before the eruption of the canines. Conclusion: The severity of the deformity influenced the success rate. The timing of the operation was a critical variable that affected the outcome in patients with cleft lip and palate.

  • PDF KSCI