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삼각피판법을 이용한 편측 불완전 구순열 환자의 구순 교정 수술-증례 보고
Repair of the Cleft Lip using Triangular Cheiloplasty-A Case Report

대한구순구개열학회지 2007년 10권 2호 p.67 ~ 74

송인석, 홍종락, 정필훈, 서병무,

소속 상세정보

송인석 ( Song In-Seok ) - 서울대학교 치과병원 구강악안면외과학교실
홍종락 ( Hong Jong-Rak ) - 성균관대학교 의과대학 삼성서울병원 구강악안면외과
정필훈 ( Choung Pill-Hoon ) - 서울대학교 치과대학 구강악안면외과학교실
서병무 ( Seo Byoung-Moo ) - 서울대학교 치과대학 구강악안면외과학교실

KMID : 0952820070100020067

Abstract

After Tennison introduced a triangular flap method which, for the first time, preserved the Cupid’s bow, Randall gave this method a sound mathematical basis. This method is also called as an inferior triangular cheiloplasty which is characterized by making a small triangular flap from the lateral border of cleft destined to be fitted into an incision on the medial side of cleft. He postulated that the height obtained was equal to the sum of the median of the two triangles used in the cheiloplasty. Using this technique, a 22 month-old male patient with incomplete unilateral cleft lip was corrected primarily. The deviation of the columella and flattening of the nostril on the cleft side were minimal. The operation was done under general anesthesia and patient was healed uneventfully. We tried to improve the symmetry and esthetic feature of philtrum, nostril sill, alar-facial groove, preventing the notch formation on the nostril floor, and to reconstruct the muscle sling in the upper part of lip. The shape of Cupid’s bow was restored, and the symmetry of columella was regained as a result. In summary, the inferior triangular cheiloplasty is effective to correct the primary unilateral cleft lip, results in the restoration of favorable anatomy and function.