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완전구순열 환자에서 사각피판법의 적용 - 증례보고 -
Quadrilateral Flap Technique Applied for Complete Cleft Lip Patients - Report of cases -

대한구순구개열학회지 2009년 12권 2호 p.65 ~ 72

남일우, 이주환, 이인우, 서병무,

소속 상세정보

남일우 ( Nam Il-U ) - 서울대학교 치과대학 구강외과학교실
이주환 ( Lee Ju-Hwan ) - 서울대학교 치의학대학원 구강악안면외과학교실
이인우 ( lee In-Woo ) - 서울대학교 치의학대학원 구강악안면외과학교실
서병무 ( Seo Byoung-Moo ) - 서울대학교 치과대학 구강악안면외과학교실

KMID : 0952820090120020065

Abstract

Quadrilateral flap technique for primary cheiloplasty in patients with cleft lip was initially developed by Hagedorn in 1884. After Le Mesurier presented this procedure in 1940’s, many surgeons adopted this technique for clinical advantage of reconstruction of Cupid’s bow and lesser amount of tissue discarding than straight line technique. However, owing to its drawbacks such as sacrifice of Cupid’s bow and prominent scar on philtral ridge, other techniques like Tennison’s triangular flap and Millard’s rotation-advancement flap have gradually taken its place. Nevertheless, some clinicians like Dr. Wang has modified this quadrilateral flap technique for better clinical outcomes. In this report we present 3 cases of unilateral complete cleft lip patients who underwent primary cheiloplasty with favorable outcomes based on Dr. Wang’s modified quadrilateral flap technique.