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KMID : 0358820090360050637
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Journal of Korean Society of Plastic and Reconstructive Surgeons
2009 Volume.36 No. 5 p.637 ~ p.641
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Surgical Correction of Nostril Base and Nostril Sill Depression in Unilateral Secondary Cleft Lip Nose Deformity
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Lee Soo-Hyang
Lee Kyung-Jin
Hwang Eun-A
Choi Hyun-Gon
Kim Soon-Heum
Shin Dong-Hyeok
Uhm Ki-Il
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Abstract
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ORCID 등록
NTIS R&D 성과물 등록
NTIS 과학기술인 등록
공지사항
학회소식
검색결과리스트 이전 기사로 이동 9 of 28 다음 기사로 이동
http://society.kisti.re.kr/sv/SV_svpsbs03V.do?method=view Copy URL
대한성형외과학회지 / v.36, no.5, 2009년, pp.637-641
ksci
일측성 이차 구순열 비변형에서 비공저와 비공턱 함몰의 수술적 교정
( Surgical Correction of Nostril Base and Nostril Sill Depression in Unilateral Secondary Cleft Lip Nose Deformity )
이수향 (건국대학교 의학전문대학원 성형외과학교실) 이경진 (건국대학교 의학전문대학원 성형외과학교실) 황은아 (건국대학교 의학전문대학원 성형외과학교실) 최현곤 (건국대학교 의학전문대학원 성형외과학교실) 김순흠 (건국대학교 의학전문대학원 성형외과학교실) 신동혁 (건국대학교 의학전문대학원 성형외과학교실) 엄기일 이메일 (건국대학교 의학전문대학원 성형외과학교실) 저자(영문) 열기
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초 록
Purpose: Most unilateral secondary cleft lip nose deformities have depressed nostril base and sill on the cleft side. To obtain a symmetric nose, correction of the recession on nostril is critical. The authors have worked out effective methods to elevate the nostril of the cleft side according to the extent of the depression. Methods: A total of 115 unilateral secondary cleft lip nose deformity patients with nostril depression were evaluated. Data were acquired from patients’ charts and photography with special reference to the height difference of the nostrils between the cleft side and the non-cleft side. Patients were divided into three groups based on the difference and operated with various techniques :(1) mild degree(< 1mm) with graft,(2) moderate degree(1-3mm) with C-flap or suspension suture of septal cartilage(3) severe degree(> 3mm) with graft, C-flap and suspension suture. Follow-up period averaged 21.3 months. Results: Forty-six patients(40 percent) were in mild group, and forty-two(37 percent) were in moderate. In twenty-seven patients(23 percent), nostril recession was more than 3mm. The elevated nostril base and sill were maintained without height alteration during follow-up. Conclusion: The symmetry of the nostril base, especially projection of nostril sill influences successful correction of unilateral cleft lip nose deformity. Our tolerable techniques can be applied to most deformities with nostril depression and can present a new guideline.
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KEYWORD
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Nostril base, Unilateral cleft lip nose deformity
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