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KMID : 0952820050080010031
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Journal of Korean Cleft Lip & Palate Association
2005 Volume.8 No. 1 p.31 ~ p.37
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The Use of Bilateral Buccal Mucosal Flap for the Repair of Bilateral Cleft Alveolus : 2 Case Reports
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Kim Nam-Hun
Song Min-Seok
Kim Hyeon-Min
Jang Jung-Hui
Eom Min-Yong
Koo Hyun-Mo
Yi Jun-Kyu
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Abstract
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In alveolar deformity of cleft patient, the flap design is very important to make the functional and esthetic outcome. Especially in bilateral cleft alveolus with wide defect, deficiency of covering tissue is a greatest problem. Wound dehiscence may develop oronasal fistula of palatal and labial region and loss of the bone graft. We report 2 cases with bilateral cleft alveolus. In both case, bilateral buccal mucosal flap was used for closure of bilateral cleft alveolus with wide defect. The one was operated with iliac bone graft according to secondary grafting method, the other was closed without bone grafting. The patient was 3 years old. So, secondary alveolar bone graft will be required some years later for the establishment of bony continuity and esthetic advantage. In both cases, we found the entire soft tissue closure without the lack of covering flap. In these case, the closure of alveolus defect was accomplished successfully by the use of bilateral buccal mucosal flap. There was no complication, secondary fistula. The most important thing is the tension-free closure of the bilateral buccal mucosal flap. So, we report these cases with literatures.
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KEYWORD
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Bilateral cleft alveolus, Bilateral buccal mucosal flap
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