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KMID : 0358819890160050833
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1989 Volume.16 No. 5 p.833 ~ p.843
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CLINICAL EXPERIENCE OF RECONSTRUCTING ACQUIRED FACIAL CLEFT DEFORMITY
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Shin Young-Jin
Yoon Kun-Chul
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Abstract
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The authors experienced reconstruction of a complex adult facial deformity extending from right side of nose to right anterior part of the maxilla owing to tissue necrosis from small pox complication in a neonate.
Because the event ocurred in the very early period of life, the secondary deviation of the facial structures through growth was an additional problem besides simple tissue defects. As it seemed that was vary like the features of congenital facial cleft due to the error in viviparity, we dared to name deformity acquired facial cleft. Etiologically the deformity can be classified as a sequale of noma which defines a mixed aggressive infection of the facial tissue in chronically mal nourished children during or soon after an acute debilitation illness. Because the socioeconomic condition of our country has improved so much, active noma cases are rare nowadays.
So we are presenting a case of acquired facial cleft due to noma sequale for following reasons in summary.
1. Noma survivor is quite rare nowadays and there is rare clinical report of reconstructing that deformity in this country.
2. Because the deformity or defects of this case involves multiple facial units, we consider the experience of reconstructing this case is invaluable.
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