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구순비 변형에서 인중부 구륜근판을 이용한 인중재건 및 비익기저 함몰의 교정

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Author(s)
한기환하태원최동원Kihwan HanTaewon HaDongwon Choi
Keimyung Author(s)
Han, Ki HwanChoi, Dong Won
Department
Dept. of Plastic Surgery (성형외과학)
Journal Title
대한성형외과학회지
Issued Date
1999
Volume
26
Issue
4
Abstract
The philtrum of the upper lip is important to the facial contour and general appearance of individuals. In patients who have undergone cleft lip surgery, reconstruction of the philtrum is important in restoring the normal appearance of the upper lip and it also helps in diverting people`s attention away from the surgical scar. Several methods of philtral dimple creation have been used, but the postoperative results have not always been satisfactory. Between 1991 and 1997, reconstruction of the philtrum with unilateral cleft nasal deformity was performed in 43 patients, transposing the orbicularis oris muscle of the central upper lip to the depressed alar base. Using this method, efforts were made to achieve reconstruction of the philtrum and correction of alar base depression simultaneously. The results were rated good to excellent by a panel of judges using the ordinary scale method. Although reconstruction of the philtral dimple and correction of the depressed alar base were very successful, reconstruction of philtral column(especially the upper portion) was not satisfactory. Therefore, other procedures such as temporal fascial grafts in the upper portion of the philtral column should also be considered at the time of primary surgery or revisional surgery. Key Words:
Correction of alar base depression ,Reconstruction of the philtrum ,Transposition of orbicularis oris muscle flap
Alternative Title
A Philtral Reconstruction and the Correction of Alar Base Depression Using a Transposition of the Orbicularis Oris Muscle Flap In Secondary Cleft Lip Repair
Keimyung Author(s)(Kor)
한기환
최동원
Publisher
School of Medicine
Citation
한기환 et al. (1999). 구순비 변형에서 인중부 구륜근판을 이용한 인중재건 및 비익기저 함몰의 교정. 대한성형외과학회지, 26(4), 725–732.
Type
Article
ISSN
1015-6402
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39102
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Plastic Surgery (성형외과학)
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