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전비중격연장이식술을 이용한 일측 구순열비변형교정술: 다공성고밀도폴리에틸렌 판과 비중격연골의 사진계측학적 비교

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Author(s)
한기환정진욱박무식김준형손대구Ki Hwan HanJin Wook JeongMu Sik ParkJun Hyung KimDae Gu Son
Keimyung Author(s)
Han, Ki HwanPark, Mu SikKim, Jun HyungSon, Dae Gu
Department
Dept. of Plastic Surgery (성형외과학)
Journal Title
대한성형외과학회지
Issued Date
2010
Volume
37
Issue
4
Abstract
Purpose: Complete septal extension grafts have been widely used in rhinoplasty for effective projection of the short retruded columella in Asian patients. Autologous septal cartilages and porous high-density polyethylene sheets are frequently used as septal extension grafts. This study was conducted to compare the postoperative results of porous polyethylene sheets and septal cartilages used for correction of unilateral cleft lip nasal deformities by using photogrammetric analysis. Methods: This study investigated a total of 49 patients with cleft lip nasal deformities who underwent corrective surgery, and were followed up for at least 6 months. Septal cartilages were used in 39 patients, and porous polyethylene sheets were used in 10 patients. In all patients, through the open rhinoplasty, complete septal extension grafts were sutured to the caudal margin of the septal cartilage, and the alar cartilage was sutured with suspension. The cleft side alar cartilage was overcorrected by approximately 3 - 5 mm. Postoperative outcomes were evaluated by using photogrammetric analysis. Five indices and 4 angles were measured on their photographs taken before and after the surgery. In patients with unilateral cleft lip nasal deformities, symmetry was also evaluated by means of columellar length index. Results: The postoperative values obtained in photogrammetric analysis showed improvements in comparison with the preoperative ones. The polyethylene group produced more improved outcomes than the septal cartilage group but also resulted in more complications at the same time. Conclusion: The results of this study indicates that complete septal extension grafts are efficient for the correction of unilateral cleft lip nasal deformities. However, since postoperative complications occur more frequently in the polyethylene group than in the septal cartilage group, caution is advised in using porous high-density polyethylene sheets in patients with cleft lip nasal deformities. 키워드
Porous high-density polyethylene; Septal nasal cartilage; Cleft lip nasal deformity; Complete septal extension graft
Alternative Title
Complete Septal Extension Graft using Porous High- Density Polyethylene Sheet or Septal Cartilage in Unilateral Cleft Lip Nasal Deformities: Photogrammetric Analysis
Keimyung Author(s)(Kor)
한기환
박무식
김준형
손대구
Publisher
School of Medicine
Citation
한기환 et al. (2010). 전비중격연장이식술을 이용한 일측 구순열비변형교정술: 다공성고밀도폴리에틸렌 판과 비중격연골의 사진계측학적 비교. 대한성형외과학회지, 37(4), 400–408.
Type
Article
ISSN
1015-6402
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39346
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Plastic Surgery (성형외과학)
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