SITE LINK

구순구개열 미션 시 구개열 수술에 대한 분석
Analyzing Palatoplasty during Cleft Mission

대한구순구개열학회지 2020년 23권 1호 p.14 ~ 19

박영욱, 이석근, 권광준, 김성곤, 팽준영, 황대석, 김좌영,

소속 상세정보

박영욱 ( Park Young-Wook ) - Gangneung-Wonju National University College of Dentistry Department of Oral and Maxillofacial Surgery
이석근 ( Lee Suk-Keun ) - Gangneung-Wonju National University College of Dentistry Department of Oral Pathology
권광준 ( Kwon Kwang-Jun ) - Gangneung-Wonju National University College of Dentistry Department of Oral and Maxillofacial Surgery
김성곤 ( Kim Seong-Gon ) - Gangneung-Wonju National University College of Dentistry Department of Oral and Maxillofacial Surgery
팽준영 ( Paeng Jun-Young ) - Sungkyunkwan University School of Medicine Samsung Medical Center Department of Oral and Maxillofacial Surgery
황대석 ( Hwang Dae-Seok ) - Pusan National University School of Dentistry Department of Oral and Maxillofacial Surgery
김좌영 ( Kim Jwa-Young ) - Hallym University Sacred Heart Hospital Department of Oral and Maxillofacial Surgery

KMID : 0952820200230010014 DOI : 10.31136/kjclp.2020.23.1.14

Abstract

Objective: The cleft lip and/or palate is the most common congenital anomaly with a high incidence within developing or low-income countries. To overcome the disease burden, humanitarian international missions are essential. In mission operation, patients never underwent any type of preoperative hospital care. Moreover, lots of patients past appropriate time of surgery. Therefore, we investigated primary palatoplasties in mission environments with regard to patients’ age and operation modality.

Materials and Methods: The subjects included 106 patients who wanted palatoplasty during cleft missions in Vietnam. Medical records and peri-operative clinical photographs were analyzed retrospectively.

Results: Primary palatoplasty was performed at the age of 72.5 months on average. Clinically, incomplete cleft palate was 61.3%. Main surgical technique was V-Y push-back operation with intravelar veloplasty (68%). Additional surgical procedures were pedicled buccal fat pad (33%) and vomer flap (16%). Postoperatively, no motality and any transfusion was not performed. Until 1 month after palatoplasty, fistula rate was 3.8%.

Conclusion: For management of untreated cleft palate, which past the appropriate time of palatoplasty, pedicled buccal fat pad could be a reliable additional procedure to decrease postoperative fistula rate.