• Title/Summary/Keyword: Oral cleft

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A STUDY ON THE CEPHALOMETRIC SIMILARITY BETWEEN PARENTS AND OFFSPRING IN CLEFT LIP WITH OR WITHOUT PALATE (순ㆍ구개열 환자의 두부규격방사선사진상을 이용한 친자간의 유사성에 관한 연구)

  • Cho Su-Beom;Lee Un-Gyeong;Na Seung-Moh;Koh Kwang-Joon
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.24 no.2
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    • pp.381-390
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    • 1994
  • The purpose of this study was to determine whether any similarity existed in craniofacial morphology between parents and offspring in cleft lip with or without cleft palate. Thirty three measurements of the various regions of cranium and face were obtained from lateral cephalometric radiograms in 28 families comprising 28 fathers, 28 mothers and 28 cleft patients. The measurements of cleft patients were compared with those of their fathers, mothers and midparents. The obtained results were as follows: 1. There were similar measurements between the cleft patients and their fathers; rama1 height(Ar-Go), mandibular angle(∠MP-RP). 2. There were similar measurements between the cleft patients and their mothers; cranial base angle(∠NSBa), relation of maxilla to the cranial base(∠SNA), relation of maxilla to the cranial base(soft tissue:∠BaN'Sn), angle of inferior border of mandible(∠SNL-MP) and convexity of nose apex(soft tissue:∠N'PmPog'). 3. There were similar measurements between the cleft patients and their midparents; ramal height (Ar-Go), cranial base angle( ∠NSBa), relation of maxilla to the cranial base(soft tissue: ∠BaN'Sn), Y axis angle(∠NSGn) and mandibular angle(∠MP-RP). 4. There was no similar measurements between the cleft patients and their fathers and mothers simultaneously.

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Functional Primary Closure of Unilateral Imcomplete Cleft Lip by Modified Delaire's Technique: Report of a case (Delaire 변법을 이용한 편측 불완전 구순열 환자의 기능적 일차 봉합술: 증례보고)

  • Lee, Byung-Ha;Park, Chang-Joo;Hwang, Kyung-Gyun;Shim, Kwang-Sup;Choung, Pill-Hoon;Seo, Byoung-Moo
    • Korean Journal of Cleft Lip And Palate
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    • v.11 no.2
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    • pp.71-75
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    • 2008
  • The outcome of primary surgery for cleft lip is judged by its effects on the quality of oro-facial function and development. Many surgical techniques have been tried to obtain better results, however, Delaire introduced a technique of functional closure of the lip and nose, based on the findings of no true hypoplasia in the tissues either side of the cleft. In a seven-month-old Asian male patient with unilateral incomplete cleft lip, we carried out the primary closure by modified Delaire's technique. With no alveolar bone graft, the vertical incision on the nasal base was omitted in this patient because of his acceptable symmetry of nose. Also, a small Z plasty was added on the non-cleft side. The V-shaped incisions, whose notch was located on each side of the red vermilion, were designed and beveled incisions were performed for the rehabilitation of lip length and thickness, considering the postoperative wound contracture. We assured that this modification of Delaire's technique could be applied for various cases of primary closure of incomplete cleft lip.

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The Use of Bilateral Buccal Mucosal Flap for the Repair of Bilateral Cleft Alveolus : 2 Case Reports (양측성 치조열의 재건을 위한 협부 점막피판의 사용:2증례)

  • Kim Nam-Hun;Song Min-Seok;Kim Hyeon-Min;Jung Jung-Hui;Eom Min-Yong;Koo Hyun-Mo;Yi Jun-Kyu
    • Korean Journal of Cleft Lip And Palate
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    • v.8 no.1
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    • pp.31-37
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    • 2005
  • In alveolar deformity of cleft patient, the flap design is very important to make the functional and esthetic outcome. Especially in bilateral cleft alveolus with wide defect, deficiency of covering tissue is a greatest problem. Wound dehiscence may develop oronasal fistula of palatal and labial region and loss of the bone graft. We report 2 cases with bilateral cleft alveolus. In both case, bilateral buccal mucosal flap was used for closure of bilateral cleft alveolus with wide defect. The one was operated with iliac bone graft according to secondary grafting method, the other was closed without bone grafting. The patient was 3 years old. So, secondary alveolar bone graft will be required some years later for the establishment of bony continuity and esthetic advantage. In both cases, we found the entire soft tissue closure without the lack of covering flap. In these case, the closure of alveolus defect was accomplished successfully by the use of bilateral buccal mucosal flap. There was no complication, secondary fistula. The most important thing is the tension-free closure of the bilateral buccal mucosal flap. So, we report these cases with literatures.

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Improvement of phonetic function using modified two-flap palatoplasty and velar myoplasty : Report of a case (변형 피판 구개성형술 및 구개내 근육성형술의 언어기능의 개선 : 증례보고)

  • Yi, Ho;Myoung, Hoon;Choi, Jin-Young;Lee, Jong-Ho;Choung, Pil-Hoon;Kim, Myung-Jin;Seo, Byoung-Moo
    • Korean Journal of Cleft Lip And Palate
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    • v.9 no.2
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    • pp.79-84
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    • 2006
  • Cleft palate is one of the most devastating congenital facial deformities frequently accompanied by cleft lip. In many cases, it causes phonetic and swallowing difficulties although surgical interventionwas applied. Among the surgical methods, Veau-Wardill-Kilner pushback palatoplasty (V-Y reposition) is widely used in the most cleft palate cases. It is designed to lengthen the palate posteriorly, hence to overcome the speech and swallowing problems, but broad postoperative palatal scar might interfere the normal maxillary growth. If the velar muscles were not reoriented, it could result in incomplete speech recovery. In this case report, the modified two-flap palatoplasty with minimal pushback was successfully applied to a 21 month-old girl who has had incomplete cleft palate extended to the posterior third of hard palate. The speech evaluation was confirmed as functional reconstruction of cleft palate was achieved.

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Correction of the secondary nasal deformity using Bardach' s technique (Bardach씨 술식을 통한 이차성 구순열비변형의 교정)

  • Kim Su-Gwan
    • Korean Journal of Cleft Lip And Palate
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    • v.2 no.1_2
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    • pp.23-28
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    • 1999
  • The author presents Bardach' s technique for the residual unilateral cleft lip nasal deformity, The key to a successful and stable correction of the nasal deformity is to lengthen the columella on the cleft side and to mobilize alar cartilage from its surrounding tissue, creating a symmetric shape and length, The major advantages of the technique are lengthening of the cleft columella and creation of a symmetric and well-projected nasal tip.

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