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구순열비교정술 후 외비주형술(Extranasal molding): 비주길이의 사진계측학적 분석

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Author(s)
한기환백대향손형빈김준형손대구Ki Hwan HanDae Hyang PaikHyung Bin SonJun Hyung KimDae Gu Son
Keimyung Author(s)
Han, Ki HwanKim, Jun HyungSon, Dae Gu
Department
Dept. of Plastic Surgery (성형외과학)
Journal Title
대한성형외과학회지
Issued Date
2006
Volume
33
Issue
5
Abstract
PURPOSE: In the correction of cleft lip, there have been various methods to minimize recurrence of the nasal deformity after primary nasal surgery. After cheiloplasty and primary nasal surgery, we tried to elongate the columella of the cleft side, to stretch the vestibular lining of cleft side, and to elevate the alar cartilage of the cleft side with a molding prong. METHODS: We had fifteen cleft lip patients; 12 unilateral cases(6.3-8.2 months), and 3 bilateral cases(3 -7.5 months). Immediately after primary repair of the cleft lip, the toboggan shaped molding prong was located to deep inside of vestibular web of the cleft side. It was persistently suspended by a silicone tube which was connected to the prong and the frontal scalp. The results were analyzed with Photoshop(R) photogrammetrically for 6-48 months with on average of 20.6 months. We measured the proportion index of columellar length-interalar distance for three times(preoperation, immediate postoperation, and postoperation) on the nasal base views. RESULTS: In unilateral, the index had a significant increase statistically between preoperation(10.73) and immediate postoperation(23.96). It is supposed that columellar length was reconstructed to 105.80% of normal side. But, it was decreased to maintain 87.7% of normal side in postoperation(20.54). The results were similar in bilateral. The linear scars by suture penetrating nose skin were not discernable. CONCLUSION: In summary, placement of the molding prong could elongate the reconstructed columella with some relapse postoperatively.
Alternative Title
Effects of Extranasal Molding after Primary Cleft Lip Nasal Repair : Photogrammetric Analysis
Keimyung Author(s)(Kor)
한기환
김준형
손대구
Publisher
School of Medicine
Citation
한기환 et al. (2006). 구순열비교정술 후 외비주형술(Extranasal molding): 비주길이의 사진계측학적 분석. 대한성형외과학회지, 33(5), 563–569.
Type
Article
ISSN
1015-6402
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39267
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Plastic Surgery (성형외과학)
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