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양측 구순열비의 교정술: Mulliken의 원칙과 방법

Other Titles
 REPAIR OF BILATERAL CLEFT LIP AND NOSE: PRINCIPLES AND METHODS OF MULLIKEN 
Authors
 정영수  ;  John B. Mulliken  ;  Stephen R. Sullivan  ;  Bonnie L. Padwa 
Citation
 Journal of Korean Association Maxillofacial Plastic Reconstructive Surgery (대한악안면성형재건외과학회지), Vol.31(4) : 353-360, 2009 
Journal Title
 Journal of Korean Association Maxillofacial Plastic Reconstructive Surgery (대한악안면성형재건외과학회지) 
ISSN
 1225-4207 
Issue Date
2009
Keywords
Bilateral cleft lip ; Nasolabial repair ; Synchronous repair ; Fourth-dimensional changes
Abstract
The principles for repair of bilateral cleft lip and nasal deformity are 1) symmetry, 2) primary muscular continuity, 3) proper philtral size and shape, 4) formation of the median tubercle and vermilion-cutaneous ridge from lateral labial elements, and 5) primary positioning of the alar cartilages to construct the nasal tip and columella. The authors underscore the essential role of preoperative premaxillary positioning for the synchronous closure of the cleft lip and primary palate, and describe Mulliken's operative technique. We discuss three-dimensional adjustments based on predicted fourth-dimensional changes. In a consecutive series of 50 patients, no revisions were necessary for philtral size or columellar length. Preoperative premaxillary positioning and primary repair of bilateral cleft lip and nasal deformity may impair maxillary growth. Nevertheless, a symmetric nasolabial appearance, rather than emphasis on maxillary growth, is the priority for the child with bilateral cleft lip.
Files in This Item:
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Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Oral and Maxillofacial Surgery (구강악안면외과학교실) > 1. Journal Papers
Yonsei Authors
Jung, Young Soo(정영수) ORCID logo https://orcid.org/0000-0001-5831-6508
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/104979
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