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KMID : 0358819870140020261
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1987 Volume.14 No. 2 p.261 ~ p.271
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TREATMENT OF SECONDARY CLEFT LIP AND NASAL DEFORMITY
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Lee Young-Man
Choi Hee-Youn
Lew Jai-Mann
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Abstract
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The nasal deformities remain as a major problem for the patient with repaired cleft lip. Despite the incorporation of nasal repair technique into some methods for primary cleft lip repair, the need for secondary nasal revision remains usually. Among the numerous methods of cleft lip nose deformity correction, no single procedure has been developed to provide a standard approach for the problem of the cleft lip nose deformity.
But no matter how varied the deformities, the major goal is to make the nostrils symmetrical state.
We corrected eighteen cleft lip nose cases during last year. The thirteen cases were unilateral and the remains were bilateral clefts.
The main components of our operative methods were conchal cartilage onlay graft, Z-plasty on lateral nasal bestibule and revision of previous operative scars. The adjunctive methods were Abbe flaps, orbicularis oris muscles repair, onlay vone graft and silastic implantation. Thus we represent our methods and cases with a review of literatures.
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KEYWORD
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