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편측성 완전 구순열에서 악정형 장치로서 Latham 장치와 PNAM 장치의 순차적 이용 - 증례보고
Sequential Use of Latham device and Presurgical Nasoalveolar Molding (PNAM) device in Unilateral Complete Cleft Lip and Palate - A Case Report -

대한구순구개열학회지 2017년 20권 1호 p.21 ~ 27

임재석, 박진후, 정휘동, 정영수,

소속 상세정보

임재석 ( Lim Jae-Seok ) - 연세대학교 치과대학 구강악안면외과학교실
박진후 ( Park Jin-Hoo ) - 연세대학교 치과대학 구강악안면외과학교실
정휘동 ( Jung Hwui-Dong ) - 연세대학교 치과대학 구강악안면외과학교실
정영수 ( Jung Young-Soo ) - 연세대학교 치과대학 구강악안면외과학교실

KMID : 0952820170200010021

Abstract

Severe cleft forms are associated with severe nasolabial deformities, and present a significant surgical challenge in order to achieve functional and aesthetic outcome. The aim of presurgical infant orthopedics (PSIO) is to reduce the severity of the cleft (e.g., nasal deformity, cleft size), thereby improving surgical results, reducing the need for lip and nose revisions. Since the concept of Presurgical infant orthopedics (PSIO) was first introduced by McNeil in 1950, various forms of orthopedic devices with different mechanics have been developed. The Latham device applies active force which align the maxillary segments and reduce the cleft size prior to definitive surgery. The Presurgical Nasoalveolar Molding (PNAM) device corrects the position of the nasal tip, alar base, philtrum, and columella improving nasal appearance, which can minimize the need for secondary nasal surgery. In this article we report sequential use of Latham device and Presurgical nasoalveolar molding (PNAM) device in unilateral complete cleft lip and palate patient