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KMID : 0360119960180030366
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Journal of the Korean Society of Maxillofacial Plastic Reconstructive Surgeons
1996 Volume.18 No. 3 p.366 ~ p.370
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One-Stage reconstruction of primary bilateral cleft lip : A case report
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임석균
여환호/김영균/김수관/서재훈/이기혁/이병준
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Abstract
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Bilateral cleft lip reconstruction can be performed in one- or two-stages. The choice depends on the surgeon's proficiency and experience. However the type and severity of the cleft must be considered.
Complete or incomplete symmetric, bilateral clefts in which the premaxilla is within the alveolar arch or slightly protruded can be successfully treated with simultaneous lip reconstruction on both sides.
There are some advantages that one-stage lip reconstruction facilitates creation of a symmetric and balanced lip, retraction of protruding premaxilla and the parent's psychologic satisfaction. However, there are some disadvantages such as
micrognathia
of the upper jaw by severe scar formation and poor adaptation of flap margins by severe tension.
The surgeon must be able to judge and exploit the advantages offered by one-stage approach.
We present the case report of one-stage reconstruction of primary bilateral cleft lip with literature reviews.
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KEYWORD
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