몽골의 선천성 구개열 치료를 위한 외과적 처치법들의 비교 연구
Comparative study of surgical technique for the correction of the congenital cleft palate in Mongolia
Ayanga Gongorjav, 김성곤, 박영욱, Davaanyam Luvsandorj, Purevjav Nyanrag, Ariuntuul Garidkhuu, Agiimaa Dondog, Bayasgalan Rentsen, 장은식,
소속 상세정보
( Ayanga Gongorjav ) - Mongolian Maternal and Child Health Research Center Department of Maxillo-Facial surgery
김성곤 ( Kim Seong-Gon ) - 한림대학교 의과대학 구강악안면외과학교실
박영욱 ( Park Young-Wook ) - 강릉원주대학교 치과대학 구강악안면외과학교실
( Davaanyam Luvsandorj ) - Health Science University of Mongolia The School of Dentistry
( Purevjav Nyanrag ) - Health Science University of Mongolia The School of Dentistry
( Ariuntuul Garidkhuu ) - Health Science University of Mongolia The School of Dentistry
( Agiimaa Dondog ) - Mongolian Maternal and Child Health Research Center Department of Maxillo-Facial surgery
( Bayasgalan Rentsen ) - Mongolian Maternal and Child Health Research Center Department of Maxillo-Facial surgery
장은식 ( Jang Eun-Sik ) - 한림대학교 의과대학 구강악안면외과학교실
KMID : 0360120090310050381
Abstract
Objective: The objective of this study was to compare the surgical techniques for the correction of congenital cleft palate.
Techniques and approaches: Four-hundred-sixity patients operated between 1993 and 2008 were included in this study. The collected data were age, sex, operating time, admission days, and complications. The comparison between techniques were done by independent t-test.
Results: The majority (86.9 %) of patients were received the operation later than 1.5 years old. The distribution of each surgical technique was 43.8 % by Bardach palatoplasty, 11.9 % by Furlow palatoplasty, 1.8 % by Veau palatoplasty, and 42.4 % by the new technique developed by us. Postoperative complication such as wound dehiscence, formation of oro-nasal fistulas in the soft and hard palates were shown in 23.0 % of Bardach technique, 44.2 % of Furlow technique, and 37.5 % of Veau technique. However, only 5.4 % of patients were shown complications in our technique (P<0.001). The operation time was recorded 70 minutes under new technique while the others were 110 minutes (P<0.001). The clinical treatment at hospital was required 7.4 days for our technique and 11.3-15.5 days for the other methods.
Conclusion: The surgical treatment of congenital cleft palate in Mongolia was conducted later than proper timing for surgery. As the results were indicated, our new technique should be considered for the correction of cleft palate in old aged patients.
키워드
Congenital cleft palate;Bardach technique;Furlow technique;Veau technique;Palatoplasty
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