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다중 Z-성형술 및 미간 피판을 이용한 Tessier 방법에 의한 Tessier 4번 안면열의 수술적 교정: 증례 보고
Surgical Correction of Tessier No. 4 Facial Cleft by Tessier Technique Using Multiple Z-plasty and Glabellar Flap: A Case Report

대한구순구개열학회지 2018년 21권 2호 p.76 ~ 81

온성운, 최진영,

소속 상세정보

온성운 ( On Sung-Woon ) - 한림대학교 동탄성심병원 구강악안면외과
최진영 ( Choi Jin-Young ) - 서울대학교 치과병원 구강악안면외과

KMID : 0952820180210020076 DOI : 10.31136/kjclp.2018.21.2.76

Abstract

Tessier No. 4 facial clefts are one of the most challenging craniofacial anomalies to repair, and more complex than other craniofacial clefts. The common clinical features in Tessier No. 4 clefts consists of cleft lips which cross superiorly up to the lower eyelid, and decreased distance between the lips and lower eyelids due to displacements of the lower eyelids, and these findings are attributed to combined soft and hard tissue deficiency. Although surgeries for these patients should be planned after confirming of the patients’ physiologic conditions, the surgery should be performed as soon as possible in case of eyeball exposure. There are some surgical techniques to reconstruct Tessier No. 4 facial clefts, but the gold standard of surgical repair does not exist. We present a case of Tessier No. 4 clefts, using the Tessier technique including multiple z-plasty and glabeallar flap. In this case report, authors introduce the Tessier technique for the recontruction of Tessier No.4 facial cleft with literature review.