측두근막으로 감싼 조각연골을 이용한 최종 편측성 구순열 코성형술: 증례보고
Definitive Unilateral Cleft Rhinoplasty using Diced Cartilage Wrapped with Temporal Fascia: A Case Report
박영욱,
소속 상세정보
박영욱 ( Park Young-Wook ) - Gangneung-Wonju National University College of Dentistry Department of Oral and Maxillofacial Surgery
Abstract
A 24-year-old male patient showed a right unilateral cleft nasal deformity. Preoperative views demonstrated an asymmetric nose, depressed nasal tip, and flared right alar as well as a low dorsum. Computed tomography also revealed a deviated septum and inferior turbinate hypertrophy on the cleft side. He suffered from the secondary nasal deformity and difficult nasal breathing. Open rhinoplasty was performed via stair-step incision at the columella with a right-sided reverse-U incision. After right inferior turbinectomy, septoplasty was done to relieve the septal deviation whilethrough a section of septal cartilage was removed. Cartilage and fascial grafts were harvested from the right sixth rib and right temporal fascia. Composite reconstruction consisted of a deep foundation layer of spreader graft and columellar strutting overlaid with an esthetic layer of alar-contouring/shield graft and dorsal augmentation using diced cartilage in fascia. Postoperatively, the patient was very satisfied with improved nasal breathing and the esthetic nasal profile.
키워드
Unilateral cleft lip and palate; Secondary cleft nasal deformity; Definitive cleft rhinoplasty; Diced cartilage in fascia
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