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선천성 거구증의 교정시 수술적 고려사항

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dc.contributor.author박병윤-
dc.contributor.author이원재-
dc.date.accessioned2015-07-14T17:31:03Z-
dc.date.available2015-07-14T17:31:03Z-
dc.date.issued2004-
dc.identifier.issn2234-6163-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/113043-
dc.description.abstractMacrostomia, or lateral facial cleft, is a rare congenital deformity that occurs alone or in combination with other anomalies as a result of a failure of proper fusion of the maxillary and mandibular processes during the fourth week of embryonic life. Although many surgical techniques have been suggested to correct this deformity, the procedures are controversial and no gold standard has yet been established. The purpose of these procedures includes formation of symmetric commissure, restoration of the abnormally positioned orbicularis oris muscles, and an inconspicuous scar. A natural-looking oral commissure is not easily achieved because the commissure is not just a corner but a continuous vermilion web. The purpose of this study is to achieve a more natural-looking commissure using natural anatomical landmarks different from other studies and to divide three anatomical units of the commissure for the proportional surgical repair of congenital macrostomia. Surgical methods include commissuroplasty using mucosal triangular flap, myoplasty of the disarranged orbicularis oris muscle and closure of the cheek cleft with a small Z-plasty. From March, 1999 to Feb, 2003, a total of 12 patients(4 males, 8 females) with congenital macrostomia have been operated. We obtained satisfactory functional and esthetic outcomes in all patients by using these techniques after a long period follow-up. We think the most important aspect of macrostomia repair is a proportional anatomical repair using natural landmarks-
dc.description.statementOfResponsibilityopen-
dc.format.extent433~438-
dc.relation.isPartOfJournal of the Korean Society of Plastic and Reconstructive Surgery (대한성형외과학회지)-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.title선천성 거구증의 교정시 수술적 고려사항-
dc.title.alternativeSurgical Considerations and Refinements for Macrostomia Repair-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Plastic Surgery & Reconstructive Surgery (성형외과학)-
dc.contributor.googleauthor김민수-
dc.contributor.googleauthor이원재-
dc.contributor.googleauthor박병윤-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA01476-
dc.contributor.localIdA03005-
dc.relation.journalcodeJ01887-
dc.contributor.alternativeNamePark, Beyoung Yun-
dc.contributor.alternativeNameLee, Won Jai-
dc.contributor.affiliatedAuthorPark, Beyoung Yun-
dc.contributor.affiliatedAuthorLee, Won Jai-
dc.rights.accessRightsnot available-
dc.citation.volume31-
dc.citation.number4-
dc.citation.startPage433-
dc.citation.endPage438-
dc.identifier.bibliographicCitationJournal of the Korean Society of Plastic and Reconstructive Surgery (대한성형외과학회지), Vol.31(4) : 433-438, 2004-
dc.identifier.rimsid36876-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers

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