• 제목/요약/키워드: Cleft surgery

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횡안열 환자의 치험례 (Lateral facial cleft : Cases Report)

  • 최주석;조상기;백진아;고승오;신효근
    • 대한구순구개열학회지
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    • 제6권1호
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    • pp.53-58
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    • 2003
  • Lateral facial cleft is a rare congenital craniofacial anomaly. Their incidence is about 1 in 60,000 births and early treatment with closure in layers is important. Surgical treatment must reconstruct an anatomic and functional situation which give a good esthetic result. This study reports two cases of male at 31 months and 9 months suffered from esthetic problems due to lateral displacement of the oral commisure on the right side. Surgical treatment; the mucosa is closed in with a Z-plasty to avoid intraoral band contracture, the orbicularis oris muscle is closed after interfiber reorientation, and the skin is closed with multiple Z-plasty. So we report two cases of unilateral lateral facial cleft and review of etiopathogenesis in children with lateral facial cleft.

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구개열과 동반된 선천성 구개 기형종 1례 (A Case of Congenital Palatal Teratoma Associated with Cleft Palate)

  • 송현석;박동하;배남석;박명철
    • Archives of Plastic Surgery
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    • 제34권4호
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    • pp.498-500
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    • 2007
  • Purpose: The oral teratoma is found approximately in live birth at the rate from 1 : 35,000 to 1 : 200,000. In a review of literature 16 cases of midline teratoma with cleft palate were reported. We report a case of congenital palatal teratoma with cleft palate in a 1-year-old girl. Methods: A 1-year-old girl was admitted our institution for the closure of cleft palate. On the intraoperative findings there was $4{\times}1{\times}0.5cm$ sized hairy soft mass at the midline and complete cleft palate. We did incisional biopsy intraoperatively and its pathology revealed heterotopic brain tissue. The excision of remaining mass and palatoplasty with Sommerlad's method were performed. The final pathology of the mass was mature cystic teratoma. Results: After the operation there were neither recurrence nor oronasal regurgitation. Conclusion: We report for one patient with congenital palatal teratoma associated with cleft palate and obtained an excellent result.

갑상선 내부 및 갑상선 주위에 발생한 새열낭종 (An Intrathyroidal Branchial Cleft Cyst and a Perithyroidal Branchial Cleft Cyst)

  • 이승아;정웅윤;윤종호;장항석;홍순원;박정수
    • 대한두경부종양학회지
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    • 제19권1호
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    • pp.63-66
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    • 2003
  • Branchial cleft cysts typically are characterized as lateral swellings anterior to sternocleidomastoid muscle in upper third of the neck. However, cysts have been reported in unusual location such as the thymus, oral cavity, parotid gland, pancreas, and thyroid. Perithyroidal branchial cleft cysts are also rare and preoperative diagnosis is very difficult. Recently we have experienced a case of intrathyroidal branchial cleft cys and a case of perithyroidal branchial cleft cyst, which were diagnosed preoperatively as the parathyroid cyst. So, we report these two cases with review of the literatures.

태수술에 대한 이해와 구순구개열 환자에서의 적용 (Understanding of Fetal Surgery and Application to the Cleft Lip and Palate Patient)

  • 김성민;박정민;명훈;최진영;이종호;정필훈;김명진
    • 대한구순구개열학회지
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    • 제11권2호
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    • pp.49-58
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    • 2008
  • The development of fetal surgery has led to promising options for many congenital malformations, such as congenital diaphragmatic hernia (CDH), obstructive uropathy, twin-to-twin transfusion syndrome (TTTS), and sacrococcygeal teratoma. However, preterm labor (PTL) and premature rupture of membranes continue to be uniquitous risks for both mother and fetus. To reduce maternal morbidity and the risk of prematurity, minimal access techniques were developed and are increasingly employed recently. Lift-threatening diseases as well as severely disabling but not life-threatening conditions are potentially amenable to treatment. Recently, improvement of video-endoscopic technology has boosted the development of operative techniques for feto-endoscopic surgery, which has been demonstrated to be less invasive than the open approach. Fetal surgery for repair of cleft lip and palate, a congenital anomaly which is not life threatening, is inappropriate until such time that the benefits are shown to outweigh the risks of both the procedure itself and preterm delivery. Further animal studies will be needed before intrauterine surgery for humans should be considered. For the better understanding of recent techniques and complications associated with fetal intervention of congenital facial defect patients, we reviewed recent related articles about the current knowledge and new perspectives of experimental fetal fetal surgery in the cleft lip and palate defects.

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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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Oronasal fistula reconstruction using tongue flap with simultaneous iliac bone graft: a case report

  • Da Som Kim;Yi Jun Moon;Ho Jin Park;Seung-Ha Park
    • 대한두개안면성형외과학회지
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    • 제24권6호
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    • pp.284-287
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    • 2023
  • The ultimate goal of cleft palate repair is to achieve an intact palate with the separation of the oral and nasal cavities. However, some patients develop an oronasal fistula in the secondary palate after palatoplasty. Postoperatively, a secondary palatal oronasal fistula may develop, leading to functional problems. In this study, we describe a patient with recurrent oronasal fistula and alveolar cleft with multiple failed previous reconstructions at another clinic. The oronasal fistula and alveolar cleft were repaired using a tongue flap and an iliac bone graft, respectively. The patient demonstrated excellent clinical progress with no recurrence of the oronasal fistula at the 1-year follow-up.