편측성 구순구개열 환자에 있어 구순성형술과 동반한 서골피판법 치험례
Simultaneous Repair of Unilateral Cleft Lip and Hard Palate with Vomer Flap : a Case Report
박형욱, 송인석, 김유진, 김수호, 천강용, 서병무,
소속 상세정보
박형욱 ( Park Hyong-Wook ) - 서울대학교 치의학대학원 구강악안면외과학교실
송인석 ( Song In-Seok ) - 서울대학교 치의학대학원 구강악안면외과학교실
김유진 ( Kim Eu-Gene ) - 서울대학교 치의학대학원 구강악안면외과학교실
김수호 ( Kim Soo-Ho ) - 서울대학교 치의학대학원 구강악안면외과학교실
천강용 ( Cheon Kang-Yong ) - 서울대학교 보라매병원 구강악안면외과학교실
서병무 ( Seo Byoung-Moo ) - 서울대학교 치의학대학원 구강악안면외과학교실
KMID : 0952820120150020061
Abstract
Cleft lip and palate is the most common congenital facial malformation and has a significant developmental, physical, and psychological impact on those with the deformity and their families. When treating the patients with unilateral cleft lip, many surgeons adopt the rotation advancement flap method originally developed by Millard, or the triangular flap technique developed by Tennison, Randall or the modifications of these techniques. Among these, Millard’s rotation advancement flap method has its advantage in designing the flap using the patient’s anatomic landmarks. For performing this rotation advancement technique, skillful operation is needed to obtain esthetically satisfactory results. Vomer flap sometimes is used to repair anterior hard palate in complete cleft lip and palate patients. Vomerine tissue is readily available in the vicinity of the palatal defect and elevation of the vomerine flap is relatively simple procedure. In this article, we will introduce the comprehensive vomer flap technique conjunction with primary lip closure and review the comparative studies of the outcome of simultaneous repair of cleft lip and cleft hard palate with Millard’s rotation advancement method and vomer flap.
키워드
Ceft lip and palate; Vomer flap; Millard technique; Simultaneous repair
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