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KMID : 0952820040070010001
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Journal of Korean Cleft Lip & Palate Association
2004 Volume.7 No. 1 p.1 ~ p.16
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The Effect of Lip Adhesion in Unilateral Complete Cleft Lip
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Ryu Sun-Youl
Kim Tae-Hee
Hwang Ung
Kook Min-Suk
Kim Sun-Kook
Han Chang-Hun
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Abstract
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In the recent time, early correction of the congenital anomalies has become the focus of contemporary cleft lip care, The reason of that is mostly psychologic factor of children are respected, Although the propound object of lip adhesion is not esthetic improvement, that able to satisfy sufficiently parents of cleft children, In the unilateral or bilateral clefts, a preliminary lip adhesion has been advocated as a mean of narrowing the cleft at an early phase, of improving the nasal contour, of molding the alveolar arch, and of easing and improving the result of a definitive lip repair. The present study was earned out to investigate the effect of lip adhesion. We performed the Millard’’s high-half underminded adhesion and Seibert’’s lip adhesion followed by modified Millard’’s cheiloplasty for five infants had unilateral complete cleft lip. The lip adhesion reduced the actual deformity by molding the maxillary alveolar segments into better relationship and allows a easy cheiloplasty so that led to more perfect final lip result, Both Millard’’s high-half underminded adhesion and Seibert’’s lip adhesion were available methods to adhere a wide cleft lip, Especially, Seibert’’s lip adhesion had more advantages such as enhancement of the force of adhesion, correction of the deviated columella and acquirement of the esthetic upper lip continuity. These results suggest that the lip adhesion followed by cheiloplasty for wide unilateral complete cleft lip patients provide more favorable final result by molding the maxillary alveolar segments into better relationship.
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KEYWORD
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Unilateral complete cleft lip, Lip adhesion, High-half undermined adhesion, Seibert’s lip adhesion
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