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A SURGICAL METHOD FOR THE EFFECTIVE TREATMENT OF CLEFT ALVEOLUS, ESPECIALLY FOR THE ELEVATION OF ALA BASE
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KMID : 0355620020280010064
Abstract
ÀúÀÚµîÀº Ä¡Á¶¿ÀÌ ÀÖ´Â ¼ºÀΠȯÀÚÀÇ °ñ°á¼Õ¿¡¼ ȸº¹ÀÌ ¾î·Á¿î ºñÀͱâÀúºÎÀÇ ÁöÁö¿Í ±¸°³ºñ°´©°ø(oronasal fistula)ÀÇ Æó¼âµîÀ» À§ÇÏ¿©, Çü¼ºµÈ defect ºÎÀ§ÀÇ ºñ°ÂÊ Á¡¸·À» ÀÌ¿ëÇÏ¿© nasal layer Çü¼ºÇÏ°í Àå°ñÀÇ ÇÇÁú°ñ°ú Çظé°ñÀ» äÃëÇÏ¿© ÆÄ¿µÈ piri-form
aperture ÁÂ,¿ìÃø °ñ¿¡ fissure bur¸¦ ÀÌ¿ëÇÏ¿© ¾çÂÊ¿¡ ¼öÆòȨÀ» Çü¼ºÇÏ°í, äÃëÇÑ ÇÇÁú°ñÀ» ¾çÃø Ȩ»çÀÌ¿¡ ¼³ÇÕ°ú °°ÀÌ ¹Ð¾î ³Ö¾î piriform aperture¸¦ Àç°ÇÇÏ¿© ¿¬°á½ÃÅ°°í, ±× ¾Æ·¡·Î Çظé°ñÀ» ÀÌ½ÄµÈ ÇÇÁú°ñ¿¡ ´©¸£¸ç ´ÙÁ® ÃæÀüÇÏ´Â ¹æ¹ýÀ» »ç¿ëÇÏ¿©
ºñÀͱâÀúºÎÀÇ
ȸº¹¿¡ ¾çÈ£ÇÑ °á°ú¸¦ ¾ò¾ú±â¿¡ ¹®Çå°íÂû°ú ÇÔ²² Áõ·ÊµéÀ» º¸°íÇÏ´Â ¹ÙÀÌ´Ù.
The cleft alveolus is one of three parts in cleft deformity. The purpose of cleft alveolus bone grafting is the recovery of normal esthetics, occlusion and speech. If a bony defect is extended to the nasal floor, especially wide bony defect at
the
ala
base, it is difficult to condense the cancellous bone during bone transplantation and to reconstruct the normal anatomy at the alar base. We treated with above mentioned cleft alveolus patients using the autogenous cortical bone effectively. We
report
this technique with two cases and the literatures review.
Å°¿öµå
Cleft alveolus; Bone graft; Alar base elevation;
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