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회전-신전법의 Mulliken 변형을 이용한 편측 구순열 수술

Title
 회전-신전법의 Mulliken 변형을 이용한 편측 구순열 수술 
Other Titles
 Repair of Unilateral Cleft Lip using Mulliken’s Modification of Rotation Advancement 
Authors
 이규태 ; 임재석 ; 정영수 ; 정휘동 
Issue Date
2012
Journal Title
 Korean Journal of Cleft Lip And Palate Association (대한구순구개열학회지) 
ISSN
 1229-0734 
Citation
 Korean Journal of Cleft Lip And Palate Association (대한구순구개열학회지), Vol.15(1) : 21~28, 2012 
Abstract
Unilateral cleft lip is not a simple and independent problem in all aspects. nasal deformity results from the cleft lip, maxillary hypoplasia, and abnormal muscular pull on the nasal structures, including abnormal muscular tension on the alar base and abnormal position of the orbicularis oris muscle. Its gross and histopathologic characteristics include widening of the alar base, a midline deviation of the columella and septum to the noncleft side, dorsal displacement of the dome, lateral rotation of medial crura, buckling of the alar cartilage, and underdevelopment of the pyriform aperture. Since Dr. Millard first presented his method for repair of the unilateral cleft lip and nasal deformity in 1955, no other technique has gained as much popularity as the rotation-advancement principle. Principles established more than 50 years ago and techniques are evolving continuously. Unlike earlier procedures, this repair gives the surgeon the opportunity to manipulate the individual cleft elements through various modifications while maintaining Millard’s original surgical and anatomical goals. Although this strategy is applied worldwide, successful execution is variable and highly operator dependent. Millard and many other surgeons have made technical variations to adjust the procedure to each specific patient, to address some of its faults, and to gain new advantages. We will review the Mulliken’s modifications that Dr. Millard made to his original rotation-advancement principle and inform cases applied modifying the rotation-advancement principle.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/91249
Appears in Collections:
1. 연구논문 > 2. College of Dentistry > Dept. of Oral and Maxillofacial Surgery
Yonsei Authors
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