구순구개열을 가진 환자의 악교정 수술 시 고려사항
Considerations for Orthognathic Surgery in Cleft Lip and Palate Patients
심유송, 최송제, 한정준, 정승곤, 국민석, 오희균, 박홍주,
소속 상세정보
심유송 ( Sim You-Song ) - Chonnam National University School of Dentistry Department of Oral & Maxillofacial Surgery
최송제 ( Choi Song-Jay ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery
한정준 ( Han Jeong-Joon ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery
정승곤 ( Jung Seung-Gon ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery
국민석 ( Kook Min-Suk ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery
오희균 ( Oh Hee-Kyun ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery
박홍주 ( Park Hong-Ju ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Surgery
Abstract
Orthognathic surgery may be the last operation for the cleft lip and palate patients. The correction of jaw discrepancy can be performed by orthognathic surgery. The growth of maxilla affects by the cheiloplasty and palatoplasty. The mandibular growth of the cleft lip and palate patient follows the normal population. So cleft lip and palate patient can have a mandibular retrognathism or prognathism with similar incidence of the normal population. There are several considerations for the planning and performing orthognathic surgery in the cleft lip and palate patient. First, nasomaxillary and velopharyngeal anatomy are different from the normal population. This anatomic difference should be considered for planning and during operation to reduce complications after surgery. Second, the surgeon should decide which jaw will be operated. Third, if the maxillary surgery is planned, the surgeon should decide which technique will be used for maxillary advancements, such as Le Fort I osteotomy as a conventional orthognathic surgery or maxillary distraction osteogenesis. Fourth, the velopharyngeal function of the cleft lip and palate patient should be considered before and after the operation. Fifth, alveolar bone graft in the cleft alveolus area is also an important consideration. The last consideration is the airway behind the mandible. If the mandibular setback surgery is considered, the airway should be analyzed before the operation. In this paper, five considerations for orthognathic surgery in cleft lip and palate patients will be discussed.
키워드
Orthognathic surgery; Cleft lip and palate Orthognathic surgery; Cleft lip and palate
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