• Title/Summary/Keyword: 구순

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Congenital Cleft Lip Repair Based on Delaire Philosophy II: Functional Cheilo-rhinoplasty (Delaire 개념에 기반한 선천성 구순열의 치료 II: 기능적 구순비성형술)

  • Kim, Soung-Min;Seo, Mi-Hyun;Eo, Mi-Young;Lee, Suk-Keun;Myoung, Hoon;Lee, Jong-Ho;Choi, Jin-Young
    • Korean Journal of Cleft Lip And Palate
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    • v.13 no.2
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    • pp.63-76
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    • 2010
  • After introduction of Delaire's basic philosophy, to consider the normal and pathologic anatomy, the role of some structures, such as nasal septum, musculature, and tongue, and some functions, such as dental occlusion or nasal respiration, which play important roles in maxillary and particularly premaxillary growth, on the Korean Journal of cleft lip and palate in 2009, Delaire's primary functional cheilorhinoplasty (FCR) in the unilateral and bilateral cleft lip patients was summarized and introduced according to already published literatures and lectures. This paper will be the second publishment of Delaire philosophy with Korean language.

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Simultaneous Repair of Unilateral Cleft Lip and Hard Palate with Vomer Flap (편측성 구순구개열 환자에 있어 구순성형술과 동반한 서골피판법)

  • Han, Yoon-Sic;Lee, Ho;Seo, Byoung-Moo
    • Korean Journal of Cleft Lip And Palate
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    • v.13 no.2
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    • pp.77-84
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    • 2010
  • Vomer flap is used to repair anterior hard palate in complete cleft lip and palate patients. As the midline structure located in between the two cleft segments of hard palate, the vomer flap is very useful because of its vicinity to cleft site and their ease of execution when it is done with primary cheiloplasty simultaneously. In addition, the quality of tissue is very similar to that of the nasal mucosa with good vascularity. In cases of simultaneous repair of cleft lip with anterior palate using vomer flap, the hard palate can be repaired at the same time with primary cheiloplasty which is earlier period than other techniques. With simultaneous close of cleft lip and cleft hard palate by vomer flap, subsequent palatoplasty does not require wide dissection, and consequently chance of oronasal fistula formation will be minimized. Additionally, surgical time will be reduced and, the harmful effects on mid-facial growth will be diminished. In this article, we will introduce the comprehensive vomer flap technique with primary lip closure and review the comparative studies of the outcome of simultaneous repair of cleft lip and cleft hard palate with vomer flap.

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Prosthetic treatment for patient with upper lip cancer and severe periodontitis: Maxillary complete denture with denture adhesive and mandibular double crown-retained removable partial denture (구순암 환자에서의 의치접착제를 이용한 상악 총의치와 심한 치주 상태에서의 하악 이중관의치를 이용한 수복 증례)

  • Choi, Hyun-Suk;Lee, Cheong-Hee;Cho, Jin-Hyun
    • The Journal of Korean Academy of Prosthodontics
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    • v.53 no.1
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    • pp.74-80
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    • 2015
  • When oral cancer is occured, one may experience problems such as lip defect, necrosis of periodontal tissue and cervical caries caused by radiotherapy. According to ADI (Association of dental implantology), recent radiotherapy on jaw bone could be a relative contraindication of implant treatment. Due to this controversy, in most cases, treatment is done with removable dentures rather than implants. Especially, lip defect caused by an oral cancer operation have a serious repercussion on the retention of the denture. In this case report, patient with upper lip cancer had undergone resection primarily and secondary radiotherapy was done periodically. As a result, upper teeth of patient were extracted gradually and lower teeth showed very poor periodontal status. Therefore, Polident$^{(R)}$ denture adhesive cream (GlaxoSmithKline, London, England) was applied on maxillary complete denture to overcome reduced retention due to the lip defect and double crown RPD with friction pin was applied on the mandible successfully for two years.

Millard's Cheiloplasty (밀라드 구순성형술)

  • Park, Jung-Min;Park, Young-Wook
    • Korean Journal of Cleft Lip And Palate
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    • v.10 no.2
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    • pp.97-108
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    • 2007
  • For many years a wide variety of surgical techniques for closure of cleft lip has been used. Still many surgeons prefer the Millard's rotation-advancement lip repair because the surgical scar is masked in the philtral crest and the nostril floor, and it improves the relationship of the alar base of the cleft side, producing harmonious symmetry of the nostril and the nostril sill. In addition, it uses and preserves the lip anatomy, returning lip tissue into its normal position, minimizing the amount of tissue that is discarded, and reconstructing the orbicular oris muscle. One of the major disadvantages of this procedure is the lack of accurate measurements. The object of this study is to help in the cleft lip surgery with investing its features and design.

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Treatment of the infant with bilateral cleft lip and palate (양측성 구순구개열 신생아의 치료)

  • Kim Su Jung;Kang Seung Goo;Lee Young Jun;Park Young Guk
    • Korean Journal of Cleft Lip And Palate
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    • v.6 no.2
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    • pp.107-115
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    • 2003
  • The case unveils an early orthodontic intervention on 3-week old infant innately with bilateral cleft lip and palate. Presurgical Nasoalveolar Molding(PNAM) procedures were carried out for 2 months for the sake to diminish the anticipated strain of postsurgical scar by means of the retraction of protruded premaxilla and the extension of collapsed columella. The gap on the alveolar cleft decreased by 2,5 mm, and the columella manifested 1. 5 mm increase of its length, which yielded the consequent downward and backward movement of premaxilla, and expected to bring down the technical complexity of primary lip surgery. PNAM with sophisticated technical procedures at an optimal timing disclosed the passive molding of the alveolar segments and the formation of nasolabial soft tissue integuments and permitted one-time primary lip surgery.

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Unilateral Segmental Palatal Distraction in Unilateral Cleft Lip and Palate Patient (편측성 구순구개열 환자에서의 편측성 분절 구개골 신장술)

  • Baek Seung-Hak;Kim Na-Young;Choi Jin-Young
    • Korean Journal of Cleft Lip And Palate
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    • v.6 no.1
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    • pp.43-51
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    • 2003
  • Patients with unilateral cleft lip and palate (UCLP) usually present unilateral cross bite due to collapse of the maxillary minor segment. Unequal expansion of the palate is needed to resolve this problem in UCLP patient. Unilateral segmental palatal distraction (USPD) after Le Fort I osteotomy and the oblique placed orthodontic expansion screw (Hyrax) can be used to correct the unilateral cross bite. 1his case report describes the effects of USPD of the collapsed maxillary minor segment on patient with unilateral cleft lip and palate.

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구순 구개열 성장기 환자에서 임플란트 치료

  • 정필훈;강나라;홍종락;서병무;명훈;황순정;최진영;이종호;김명진
    • Korean Journal of Cleft Lip And Palate
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    • v.5 no.2
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    • pp.117-122
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    • 2002
  • 성장기 환자에서의 각 부위별 임플란트 식려 시기를 요약해보면 다음과 같다. 1) 상악전방부 : 외상이나 선천적 결손을 해결하는 방법으로 임플란트를 사용하는 술식이 권장하지만 성장이 완료되지 않았기 때문에 야기되는 문제를 해결하기 위해 성장이 완료될 때까지 연기하는 것이 좋다. 2)상악 후방부: 수직적인 성장량이 최고 1cm까지 일어날 수 있으면 상악동의 흡수로 조기에 임플란트 침강과 치근부의 노출을 야기할 수 있다. 그리고 동시에 보철에 의한 구개열의 횡적인 성장방해를 피해야한다. 3) 하악 전방부 : 무치증 아이에서 임플란트의 조기식립이 적응증이 되는 유일한 곳으로 치아가 없을 때는 치조골의 성장이 최소이며 초기에 횡적, 후방 성장이 대부분 완료된다. 그러나 단일 임플란트 식립은 권장되지 않는다. 4)하악후방부: 늦게까지 성장변화가 지속되기 때문에 전후방, 횡적, 수직적 성장의 많은 양이 일어난다. 하악의 회전성장의 영향을 많이 받아 하악 무치악에서 조기 임플란트 사용한 보고도 적고. 자연치아에 인접하여 임플란트를 식립한 기록은 있으나 골격성장이 완료될 때 까지는 식립하지 않는 것이 좋다.

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