Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

ONE-STAGE RECONSTRUCTION OF PRIMARY BILATERAL CLEFT LIP; A CASE REPORT

일차 양측성 구순열의 일단계 재건에 대한 증례보고

  • Lim, Seok-Kyun (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Chosun University) ;
  • Yeo, Hwan-Ho (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Chosun University) ;
  • Kim, Young-Kyun (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Chosun University) ;
  • Kim, Su-Gwan (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Chosun University) ;
  • Seo, Jae-Hoon (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Chosun University) ;
  • E, Gi-Hyug (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Chosun University) ;
  • Lee, Byung-Joon (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Chosun University)
  • 임석균 (조선대학교 치과대학 구강악안면외과학교실) ;
  • 여환호 (조선대학교 치과대학 구강악안면외과학교실) ;
  • 김영균 (조선대학교 치과대학 구강악안면외과학교실) ;
  • 김수관 (조선대학교 치과대학 구강악안면외과학교실) ;
  • 서재훈 (조선대학교 치과대학 구강악안면외과학교실) ;
  • 이기혁 (조선대학교 치과대학 구강악안면외과학교실) ;
  • 이병준 (조선대학교 치과대학 구강악안면외과학교실)
  • Published : 1996.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Bilateral cleft lip reconstruction can be performed in one-or two-stages. The choice depends on the surgeon's proficiency and experience. However the type and severity of the cleft must be considered. Complete or incomplete symmetric, bilateral clefts in which the premaxilla is within the alveolar arch or slightly protruded can be successfully treated with simultaneous lip reconstruction on both sides. There are some advantages that one-stage lip reconstruction facilitates creation of a symmetric and balanced lip, retraction of protruding premaxilla and the parent's psychologic satisfaction. However, there are some disadvantages such as micrognathia of the upper jaw by severe scar formation and poor adaptation of flap margins by severe tension. The surgeon must be able to judge and exploit the advantages offered by one-stage approach. We present the case report of one-stage reconstruction of primary bilateral cleft lip with literature reviews.

Keywords