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완전 편측성 구순열 및 불완전 구개열에서 술전 비치조 정형장치를 이용한 치료: 증례보고

Other Titles
 Treatment using presurgical nasoalveolar molding(PNAM) for a unilateral cleft lip and palate: Case report 
Authors
 홍석환  ;  이용빈  ;  정휘동  ;  정영수 
Citation
 Korean Journal of Cleft Lip and Palate Association (대한구순구개열학회지), Vol.19(2) : 37-43, 2016 
Journal Title
 Korean Journal of Cleft Lip and Palate Association  (대한구순구개열학회지) 
ISSN
 1229-0734 
Issue Date
2016
Abstract
Cleft lip and palate are the most common congenital facial deformities. Surgical approach alone cannot resolve all the various problems in patients with cleft lip and palate. The concept of presurgical infant orthopedics (PSIO) was first introduced by McNeil to reduce the interval of the cleft and to facilitate surgery. In addition to the traditional PSIO concept, Grayson et al. also reported that a presurgical nasoalveolar molding appliance (PNAM), capable of non-surgically expanding short columella and correcting nasal tip cartilage deformities. The newborn with unilateral cleft lip and palate was referred from the department of Neonatology to the department of Oral & Maxillofacial Surgery(OMFS) for evaluation & treatment. The PNAM was applied 19 days after birth. Then the PNAM was applied for 99 days before the operation and the primary lip and nose repair was performed at 118 days after birth. From the result of this case, we could see that preoperative application of PNAM may provide improvement in the esthetics of nasolabial complex and can minimize the scar tissue after surgery by reducing tension on the surgical area. It can also be helpful to normalize the shape of the nose through correcting of the nasal cartilage and extension of columella.
Full Text
http://www.dbpia.co.kr/Journal/ArticleDetail/NODE07103603
Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Oral and Maxillofacial Surgery (구강악안면외과학교실) > 1. Journal Papers
Yonsei Authors
이용빈(Lee, Yong Bin)
정영수(Jung, Young Soo) ORCID logo https://orcid.org/0000-0001-5831-6508
정휘동(Jung, Hwi Dong) ORCID logo https://orcid.org/0000-0003-1025-8323
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URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/152989
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