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Delaire 변법을 이용한 편측 불완전 구순열 환자의 기능적 일차 봉합술: 증례보고
Functional Primary Closure of Unilateral Imcomplete Cleft Lip by Modified Delaire’s Technique: Report of a case

대한구순구개열학회지 2008년 11권 2호 p.71 ~ 75

이병하, 박창주, 황경균, 심광섭, 정필훈, 서병무,

소속 상세정보

이병하 ( Lee Byung-Ha ) - 한양대학교 의과대학 치과학교실 구강악안면외과
박창주 ( Park Chang-Joo ) - 한양대학교 의과대학 치과학교실 구강악안면외과
황경균 ( Hwang Kyung-Gyun ) - 한양대학교 의과대학 치과학교실 구강악안면외과
심광섭 ( Shim Kwang-Sub ) - 한양대학교 의과대학 치과학교실 구강악안면외과
정필훈 ( Choung Pill-Hoon ) - 서울대학교 치과대학 구강악안면외과학교실
서병무 ( Seo Byoung-Moo ) - 서울대학교 치과대학 구강악안면외과학교실

KMID : 0952820080110020071

Abstract

The outcome of primary surgery for cleft lip is judged by its effects on the quality of oro-facial function and development. Many surgical techniques have been tried to obtain better results, however, Delaire introduced a technique of functional closure of the lip and nose, based on the findings of no true hypoplasia in the tissues either side of the cleft. In a seven-month-old Asian male patient with unilateral incomplete cleft lip, we carried out the primary closure by modified Delaire’s technique. With no alveolar bone graft, the vertical incision on the nasal base was omitted in this patient because of his acceptable symmetry of nose. Also, a small Z plasty was added on the non-cleft side. The V-shaped incisions, whose notch was located on each side of the red vermilion, were designed and beveled incisions were performed for the rehabilitation of lip length and thickness, considering the postoperative wound contracture. We assured that this modification of Delaire’s technique could be applied for various cases of primary closure of incomplete cleft lip.