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구순구개열 환자의 골격 기형 수술 후 안정성: 문헌 고찰
Postoperative Stability Following Skeletal Deformity Surgery for Cleft Lip and Palate: A Review

대한구순구개열학회지 2020년 23권 2호 p.43 ~ 51

박지호, 이환규, 김준영, 박진후, 정영수, 정휘동,

소속 상세정보

박지호 ( Park Ji-Ho ) - Yonsei University College of Dentistry Department of Oral and Maxillofacial Surgery
이환규 ( Lee Hwan-Gyu ) - Yonsei University College of Dentistry Department of Oral and Maxillofacial Surgery
김준영 ( Kim Jun-Young ) - Yonsei University College of Dentistry Department of Oral and Maxillofacial Surgery
박진후 ( Park Jin-Hoo ) - Yonsei University College of Dentistry Department of Oral and Maxillofacial Surgery
정영수 ( Jung Young-Soo ) - Yonsei University College of Dentistry Department of Oral and Maxillofacial Surgery
정휘동 ( Jung Hwi-Dong ) - Yonsei University College of Dentistry Department of Oral and Maxillofacial Surgery

KMID : 0952820200230020043 DOI : 10.31136/kjclp.2020.23.2.43

Abstract

Successful treatment of cleft lip and palate requires a high level of understanding of the complexity of anomalies and insights for predicting the four-dimensional change of growth. In addition, the surgeon needs to take responsibility for the life-long step-by-step operation that has profound effect on the patient. Alveolar cleft, which occurs in about 75% of cleft lip and palate patients, cannot be recovered without surgical treatment and can cause complications in various areas. However, there remains a lot of debate about the timing of the treatment of alveolar cleft. As a result of an intrinsic defect or previous surgery, patients with cleft lip and palate develop maxillary deficiency in all 3 dimensions with constricted maxillary arch. Therefore maxillary advancement surgery is indicated in about most patients with cleft lip and palate undergoing orthognathic surgery. Therefore, the authors will introduce the consensus of treatment and principles that must be observed in corrective surgery for skeletal abnormalities occurring in cleft lip and palate patients through literature review.