입천장내근육성형술을 동반한 Two-Flap Palatoplasty를 이용한 구비누공 폐쇄
Oronasal Fistula Closure using Two-Flap Palatoplasty with Intravelar Veloplasty
정서연, 정승원, 정휘동, 정영수,
소속 상세정보
정서연 ( Jung Seo-Yeon ) - 연세대학교 치과대학 구강악안면외과학교실
정승원 ( Chung Seung-Won ) - 연세대학교 치과대학 구강악안면외과학교실
정휘동 ( Jung Hwui-Dong ) - 연세대학교 치과대학 구강악안면외과학교실
정영수 ( Jung Young-Soo ) - 연세대학교 치과대학 구강악안면외과학교실
KMID : 0952820140170010011
Abstract
The purpose of cleft palate repair surgery is to recover normal mastication, swallowing and phonation function. In cleft palate patients, soft palate muscles are abnormally arranged and attached posteriorly to the hard palate. Intravelar veloplasty for reconstruction of muscle sling is required for these patients for separation of oral cavity from nasal cavity and the sphincter function of the pharynx. Closure of large oronasal fistula is very challenging for Oral & Maxillofacial surgeons, and the rate of recurrence after surgery has been reported to be 11-25%. Various methods for closure of oronasal fistula have been reported. The most important technical principle is to perform tension-free sutures of the mucoperiosteal flaps. We report 2 cases oronasal fistula closure using of two-flap palatoplasty with intravelar veloplasty with discussion on the surgical keys of this procedure.
키워드
Oronasal fistula; Two-flap palatoplasty; Intravelar veloplasty
원문 및 링크아웃 정보
등재저널 정보