• Title/Summary/Keyword: Cleft surgery

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CHARACTERISTICS OF OROPHARYNGEAL AIR PRESSURE, AIRFLOW IN CLEFT PALATE PATIENTS (구개열 환자에서의 구강인두압력 및 공기유량에 관한 음성학적 특징)

  • Baek, Jin-A
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.28 no.1
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    • pp.13-20
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    • 2006
  • The articulation disorders associated with velopharyngeal insufficiency (VPI) in cleft palate patients are interested to clinicians particularly. The purpose of this study was to investigate mainly the oropharyngeal air pressure and overall air flow in cleft palate patients. The pressure-measuring catheter was positioned at the midportion of the oropharyngeal cavity with a facial mask. Test words were composed of 9 meaningless polysyllabic words and 17 meaningful words. Aerophone II and Nasometer II were used to measure peak air pressure, mean air pressure, maximum flow rate, volume, phonatory flow rate, nasalance. The data shows that airflow of the cleft palate patient group were higher than those of the control group. Intraoral air pressure of the cleft palate patient group was lower than those of the control group. The first vowel formant and first Bandwidths of the cleft palate patient group were higher than those of the control group.

Revisited Straight Line Technique for Unilateral Cleft Lip (구순구개열 환자에 있어 직선봉합법의 역할)

  • Seo, Byoung-Moo
    • Korean Journal of Cleft Lip And Palate
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    • v.11 no.1
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    • pp.31-36
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    • 2008
  • The variations of cleft lip deformities imposed the difficulty to the surgical correction for them. Straight line technique for cleft lip surgery has been ignored quite long since other techniques were developed. Initially the straight line technique was introduced and widely accepted because it is simple and easy to perform during the period of no adequate anesthetics. But it was abandoned for its several shortcomings such as tighten lip, vermilion notching, anatomical distortion, and wound contractures. Recently, some groups advocated the usefulness of straight line technique which has a significant modification from its original form. Additionally the variable degree of cleft lip deformity allows simple straight line closure for those patients. Here a case of simple straight line technique was presented and discussed for its reliability and plausible results as well.

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THE USE OF CLASSIFICATION IN PRIMARY AND SECONDARY CLEFT LIP AND NOSE DEFORMITIES IN MEDICAL RECORDS (구순구개열 환자의 의무기록시 분류법의 도입)

  • ChoiI, Jin-Young
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.21 no.2
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    • pp.198-204
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    • 1999
  • The treatment of cleft lip and palate patients requires multidisciplinary coorperation, and the involved clinicians rely on the completeness and accuracy of the patient's medical records in developing comprehensive treatment plans. There are so many classifications in cleft lip and palate but each classification has advantages and disadvantages. Furthermore there are few classification or assessment in secondary cleft lip and palate deformities. A modification of Kenahan's Y classification in primary cleft lip and palate and new classification in secondary cleft lip and palate deformities are proposed as a simple and reproducible method. These reproducible classification may be used to facilitate not only storing and analyzing of medical informations in computer but also the planning of secondary repairs

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Anatomic landmark approach to reconstruction of asymmetric midline cleft lip due to Pai syndrome

  • Sobol, Danielle L.;Massenburg, Benjamin B.;Tse, Raymond W.
    • Archives of Plastic Surgery
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    • v.47 no.5
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    • pp.483-486
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    • 2020
  • Midline clefts of the upper lip are rare, and it is therefore important that surgeons have access to a methodical approach for when these presentations are encountered. We adapted principles of the anatomic subunit approximation for unilateral cleft lip, to the repair of midline clefts. The overt use of anatomic landmarks to define the repair results in a design that inherently adjusts to varying degrees of clefts and can accommodate asymmetries. The "measure twice, cut once" style is an advantage to new surgeons and to surgeons who seldom encounter this presentation. We describe the details of surgical repair in the context of a patient with Pai syndrome and associated nasal hamartomas that resulted in nasolabial asymmetry. This is the first report of surgical outcome following treatment of Pai syndrome and includes early and 5-year follow-up. The system of repair that we describe is applicable to both symmetric and asymmetric midline clefts.

THE CORRECTION OF SECONDARY CLEFT LIP NASAL DEFORMITY;A CASE REPORT (이차성 구순열 비변형의 교정술;증례보고)

  • Kim, Young-Kyun;Yeo, Hwan-Ho;Byun, Ung-Rae
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.17 no.2
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    • pp.153-158
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    • 1995
  • A wide variety of deformities can occur following repair of the cleft lip. Especially, cleft lip nasal deformities offer the severe psychologic, esthetic, and functional impairment. We must restore the deformities of alar cartilge, nasal tip, septum, columella, or pyriform aperture. The authors reconstructed the cleft lip nasal deformities using with the alar cartilage rearrangement, postauricular cartilage graft, and/or columellar lengthening. The 3 case reports are presented.

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Congenital Palatal Fistula with Submucous Cleft Palate (점막하 구개열이 동반된 선천성 비구개누공)

  • Kim, Sukwha;Min, Kyung Hee;Yun, Byung Min
    • Archives of Plastic Surgery
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    • v.36 no.3
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    • pp.333-335
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    • 2009
  • Congenital palatal fistulas are rare, and few cases have been reported. Most reported cases present with a submucous cleft palate. In terms of etiology, whether the fistula is congenital or acquired has been debated. Moreover, there is not a generally accepted surgical procedure for repair of palatal fistulas. We present a case of a congenital palatal fistula with a submucous cleft palate that was successfully treated with a Furlow double - opposing Z - plasty. We discuss palatal fistulas with a review of the literature.

A case of Laryngortacheoesophageal cleft (후두기관식도열 1례)

  • Chung, Phil-Sang;Lim, Eun-Seok;Ryu, Jae-Wook;Lee, Sang-Joon
    • Korean Journal of Bronchoesophagology
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    • v.11 no.2 s.22
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    • pp.32-35
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    • 2005
  • Laryngotracheoesophageal clefts are rare congenital anmalies of the upper aerodigestive tract. They range in severity from small soft tissue defects in the interarytenoid region to complete clefts of the larynx, trachea, and esophagus. Minor clefts with mild symptoms can be managed conservatively. But, major clefts requires prompt surgical managemet fur the best result. We report a case of a 1 month old male with laryngotracheoesophageal cleft. This cleft was corrected by thoracotomy and anterior laryngofissure approach.

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