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양측성 치조열의 재건을 위한 협부 점막피판의 사용:2증례
The Use of Bilateral Buccal Mucosal Flap for the Repair of Bilateral Cleft Alveolus : 2 Case Reports

대한구순구개열학회지 2005년 8권 1호 p.31 ~ 37

김남훈, 송민석, 김현민, 장중희, 엄민용, 구현모, 이준규,

소속 상세정보

김남훈 ( Kim Nam-Hun ) - 가천의과학대학교 길병원 구강악안면외과
송민석 ( Song Min-Seok ) - 가천의과학대학교 길병원 구강악안면외과
김현민 ( Kim Hyeon-Min ) - 가천의과학대학교 길병원 구강악안면외과
장중희 ( Jang Jung-Hui ) - 가천의과학대학교 길병원 구강악안면외과
엄민용 ( Eom Min-Yong ) - 가천의과학대학교 길병원 구강악안면외과
구현모 ( Koo Hyun-Mo ) - 가천의과학대학교 길병원 구강악안면외과
이준규 ( Yi Jun-Kyu ) - 가천의과학대학교 길병원 구강악안면외과

KMID : 0952820050080010031

Abstract

In alveolar deformity of cleft patient, the flap design is very important to make the functional and esthetic outcome. Especially in bilateral cleft alveolus with wide defect, deficiency of covering tissue is a greatest problem. Wound dehiscence may develop oronasal fistula of palatal and labial region and loss of the bone graft. We report 2 cases with bilateral cleft alveolus. In both case, bilateral buccal mucosal flap was used for closure of bilateral cleft alveolus with wide defect. The one was operated with iliac bone graft according to secondary grafting method, the other was closed without bone grafting. The patient was 3 years old. So, secondary alveolar bone graft will be required some years later for the establishment of bony continuity and esthetic advantage. In both cases, we found the entire soft tissue closure without the lack of covering flap. In these case, the closure of alveolus defect was accomplished successfully by the use of bilateral buccal mucosal flap. There was no complication, secondary fistula. The most important thing is the tension-free closure of the bilateral buccal mucosal flap. So, we report these cases with literatures.