• 제목/요약/키워드: Cleft surgery

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구개열의 유형에 따른 발음 비교 (Speech Evaluation Based on the Type of Cleft Palate)

  • 김석권;김민수;허정;권용석;이근철;정분선;이민혁
    • 대한두개안면성형외과학회지
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    • 제9권2호
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    • pp.72-76
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    • 2008
  • Purpose: Authors evaluated results of palatoplasty by speech analysis in bilateral, unilateral complete, and unilateral incomplete and submucous cleft palate patients. Methods: The speech outcomes were studied in 15 bilateral, 28 unilateral complete, and 46 unilateral incomplete and submucous cleft palate patients who underwent push-back palatoplasties from January 1998 to July 2004. The patients were divided into 2 groups as 3 to 6, 7 to 10-year-old and compared with 20 normal children(control groups were divided into 10 children on each side). Nasal emission test, hypernasality test, and articulation test were done by speech evaluation table which was composed of 39 different words. Results: In all speech evaluation tests, the group of bilateral cleft palate patients got the worst score. And 7 to 10-year-old groups got better score when compared to the same type cleft palate. Conclusion: Bilateral cleft palate patients have many more speech problems than other patients. In cleft palate patients, the speech problem was improved with ages, postoperatively. And the speech therapy can improve the operative outcomes.

강원도민 토순환자 45명의 무료진료보고 (Report of 45 Cases of Cleft Lips and Cleft Palates in Kang Won Do People)

  • 남일우;이우영;정상주;김봉환;이상익;김규식
    • 대한치과의사협회지
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    • 제11권2호
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    • pp.117-121
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    • 1973
  • The authors had treated 45 cases of cleft lip and cleft palate patients including 30 male patients and 15 female patients. There were 41 cases of unilateral cleft lip patients and 4 cases of bilateral cleft lip patients, and 4 cases with together cleft lips and cleft palates among the total 45 cases were showed. We had accomplished that surgical plastic closures of cleft lips and cleft palates had been performed by using of Millara's, Hagedorn's, Meyer's, LeMesurier's and Veau's methods with Z-plasty.

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순열 및 구개열 환자의 외과적 치료방법에 관한 임상적 연구 (CLINICAL STUDY OF SURGICAL TREATMENTS ON CLEFT LIP AND CLEFT PALATE)

  • 신병철;이동근;성길현
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제18권4호
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    • pp.529-545
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    • 1996
  • In order to find the distribution, causes and treatments of cleft lip and/or palate, I analyzed 113 patients of cleft lip and/or palate who were treated in the Department of Oral and Maxillofacial Surgery, School of Dentistry, Wonkwang University, Iksan, Chunbuk, KOREA from September 1984 to August 1995. The obtained results were as follows. 1. In total 113 patients of cleft lip and/or palate, male patients were 63 cases (56%) and female patients were 50 cases (44%). 2. In distribution of cleft lip and/or palate, cleft lip patients were 30 cases (27%), cleft palate patient were 23 cases (20%) and cleft lip and palate patients were 60 cases (53%). 3. Unilateral cleft lip patients (78 cases: 87%) were larger than bilateral cleft lip. In unilateral cleft lip patients, lip side cleft lip patients (45 cases: 50%) were larger than right side cleft lip patients (33 cases: 37%). 4. Possible causes of cleft lip and/or palate were related with familial tendency, drug intoxication, malnutrition, old maternal age, stress and hypoxia during 4-8 weeks of pregnancy period. 5. The favorite treated method of cleft lip was Millard rotation-advancement method. Probably the most popular operated period was 3 months. 6. The useful operating technique of cleft palate was Wardill V-Y flap method. The most popular period has been 18 to 24 months. 7. In 11 patients with velopharyngeal insufficiency, hypernasality decreased by superior based pharyngeal flap pharyngoplasty. 8. Cleft alveolus was treated with autogenous and allogeneic bone graft. The most appropriate operation period was 9 to 11 years.

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Epidemiology of cleft lip and palate charity mission surgery at Bandung Cleft Lip and Palate Center, Indonesia: a 14-year institutional review

  • Ali Sundoro;Dany Hilmanto;Hardisiswo Soedjana;Ronny Lesmana;Selvy Harianti
    • 대한두개안면성형외과학회지
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    • 제25권2호
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    • pp.62-70
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    • 2024
  • Background: The management of cleft lip and palate aims at improving the patient's aesthetic and functional outcomes. Delaying primary repair can disrupt the patient's functional status. Long-term follow-up is essential to evaluate the need for secondary repair or revision surgery. This article presents the epidemiology of cleft lip and palate, including comprehensive patient characteristics, the extent of delay, and secondary repair at our institutional center, the Bandung Cleft Lip and Palate Center, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia. Methods: This retrospective study aimed to determine the epidemiology and recurrence rates of cleft lip and palate at the Bandung Cleft Lip and Palate Center, Indonesia, from January 2007 to December 2021. The inclusion criteria were patients diagnosed with cleft lip and/or palate. Procedures such as labioplasty, palatoplasty, secondary lip and nasal repair, and alveolar bone grafting were performed, and data on recurrence were available. Results: In total, there were 3,618 patients with cleft lip and palate, with an age range of 12 months to 67 years. The mean age was 4.33 years, and the median age was 1.35 years. Males predominated over females in all cleft types (60.4%), and the cleft lip was on the left side in 1,677 patients (46.4%). Most cases were unilateral (2,531; 70.0%) and complete (2,349; 64.9%), and involved a diagnosis of cleft lip and palate (1,981; 54.8%). Conclusion: Delayed primary labioplasty can affect daily functioning. Primary repair for patients with cleft lip and palate may be postponed due to limited awareness, socioeconomic factors, inadequate facilities, and varying adherence to treatment guidelines. Despite variations in the timing of primary cleft lip repair (not adhering to the recommended protocol), only 10% of these patients undergo reoperation. Healthcare providers should prioritize the importance of the ideal timing for primary repair in order to optimize physiological function without compromising the aesthetic results.

코에 국한된 희귀 안면 갈림 (Rare Cleft of the Nose)

  • 이중호;송진경;변준희
    • Archives of Plastic Surgery
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    • 제32권5호
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    • pp.667-670
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    • 2005
  • Congenital facial cleft is a rare entity and appears along by the line of different processes of the facial development. An isolated cleft of the nose has been reported not often in the literature. We treated a patient with an isolated nasal cleft associated with undefined cranial anomaly. On 3D CT scan was seen a bony cleft traversing the pyriform aperture lateral to the anterior nasal spine. The nasal septum and frontal process of the maxilla were intact. There also was found bilateral bony defects in the frontal bone and bilateral frontal boss. The nasal cleft and frontal defect and boss were corrected by two stages: anterior two-third of the cranial vault with bilateral frontal boss was remodeled at the age of two years and the nasal cleft was repaired with a local rotation flap at age 3.

양측성 안면열과 중복 상악골:증례보고 (Case report of bilateral facial cleft and duplicated maxilla)

  • 엄민용;송민석;김현민;구현모;이준규;정종선;라주일
    • 대한구순구개열학회지
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    • 제8권1호
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    • pp.23-29
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    • 2005
  • The facial cleft and duplicated maxilla are lire congenital anomaly. After Rushton and Walker had reported a unilateral facial cleft with excess tooth and bone formation in 1937, few authors described similar cases. The etiology of this anomaly is not well understood, but considered embryologically as a neurocristopathy. A neurocristopathy is defined as a condition arising from aberrations in early migration, growth and differentiation of neural crest cells. This aberrations result in facial malformation such as facial clefts and loss or duplication of facial structures. We experienced a male newborn baby with bilateral facial cleft and duplicated maxilla. The cleft was surgically corrected when he was 5 months old. The function and appearance of lip are improved. Duplicated maxilla will be surgically removed. We report this case with review of literatures.

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구순구개열 환자를 위한 상악 악교정 수술 (Le Fort I maxillary osteotomy for cleft lip and palate patients)

  • 신영민;권대근
    • 대한치과의사협회지
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    • 제53권7호
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    • pp.468-475
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    • 2015
  • Cleft 상악수술은 근본적으로 재발 성향을 가지며 Lefort I 후에 대부분 횡적으로 완전하게 안정되어 있지않고 움직임이 존재하므로 악간 고정기간을 통상적인 수술에서보다도 좀 더 충분히 두는 것이 좋다. 수술과 동시에, 추가적으로 비대칭적인 piriform aperture 나 alar base를 correction하기 위하여 골이식이 고려될 수 있으며 경우에 따라서는 조심스럽게 반흔조직을 절개해 주어야 하는 경우도 있다. Cleft 환자의 경우 상순이 얇고 수술에 의한 전방이동효과가 적기때문에 상악 수술시 이를 적극 고려하는 것이 필요하다. 또한 cleft 환자의 pterygomaxilla 부위의 해부학적 구조가 일반인과 차이가 있다는 것을 숙지하여 상악 수술에 임하는 것이 필요하다.

Correction of Bilateral Tessier No. 2, 3, and 12 Facial Cleft with Anopthalmia

  • Moon, Seong-Yong;Kim, Seong-Gon;Park, Young-Ju;Park, Young-Wook
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제35권4호
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    • pp.243-247
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    • 2013
  • Oblique facial cleft is a rare congenital deformity. Its incidence has been reported as 0.24% of all reported cases of facial cleft. We report on a patient who had a left-sided oblique facial cleft with anopthamia, including lip and palate, nose alar base, and medial canthus. The patient also had a right-sided oblique facial cleft, which included lip and palate, nose alar base, medial canthus, and upper eye brow. Primary closure of the facial cleft was performed using multiple Z-plasty after excision of scar tissue.

새성기형 (Branchial Cleft Anomalies)

  • 정동원;김동의;윤정한;제갈영종
    • 대한두경부종양학회지
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    • 제12권1호
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    • pp.22-25
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    • 1996
  • A very important and interesting problem occasionally seen in the neck of children and adults is a branchial cleft anomaly. It is a rare congenital neck disease and presents a painless palpable mass of neck in most cases. We have retrospectively reviewed the medical records of 28 patients operated upon for branchial cleft anomaly at Department of Surgery, Chonnam University Hospital between January, 1991 and December, 1995. Three of these lesions were considered to have originated from the first branchial cleft, and 25 from the second branchial cleft. Females are about twice more common than male patients. Pathological findings showed the cysts were lined squamous epithelium and subepithelial lymphoid follicles in most cases. Five out of 28 patients with branchial cleft anomalies had previous incision procedures. All patients after complete removal of branchial anomalies have no recurrences.

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