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일측구순열비변형에서 물갈퀴일측지Z성형술을 이용한 외비공과 비주의 재건: 사진계측학적 연구

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Affiliated Author(s)
한기환박무식김준형손대구
Alternative Author(s)
Han, Ki HwanPark, Mu SikKim, Jun HyungSon, Dae Gu
Journal Title
대한성형외과학회지
ISSN
1015-6402
Issued Date
2011
Abstract
Purpose: In the treatment of the unilateral cleft lip nasal deformities, the correction of the low-nostril height and short-columella are very difficult problems. We report the treatment outcomes of web uni-limb Z-plasty used for correction of unilateral cleft lip nasal deformities by using photographic analysis.
Methods: A total of 36 patients with unilateral cleft lip nasal deformities were enrolled in this study, who underwent web uni-limb Z-plasty and were followed up for at least 6 months. First, a triangular flap was made on the medial side of alar-columella web. The nostril apex of cleft side was corrected to a higher point compared to noncleft side by 2 mm. The flap was transposed into the defect of the vestibule. To reduce the bulging of the flap, horizontal cinching sutures were added. Postoperative outcomes were evaluated by using photographic analysis. 2 indices and 1 angle were measured on their photographs taken before and after the surgery. Symmetry was also evaluated by means of the noncleft side to cleft side index. For anthropologic assessment, observers described postoperative outcomes, using Ordinary Scale Method.
Results: The postoperative values obtained in photographic analysis improved compared to preoperative ones. More improving anthropologic assessment was shown in post-than pre-operative.
Conclusion: Although, further long term follow up is needed, we found this technique to be an effective procedure to the symmetry of nostril apex level and the lengthening of columella in the unilateral cleft lip nasal deformities.
Alternative Title
Web Uni-Limb Z-Plasty for Correction of Alar Web Deformity in Unilateral Cleft Lip Nasal Deformities: Photogrammetric Analysis
Department
Dept. of Plastic Surgery (성형외과학)
Publisher
School of Medicine
Citation
한기환 et al. (2011). 일측구순열비변형에서 물갈퀴일측지Z성형술을 이용한 외비공과 비주의 재건: 사진계측학적 연구. 대한성형외과학회지, 38(6), 740–746.
Type
Article
ISSN
1015-6402
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39360
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Plastic Surgery (성형외과학)
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