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KMID : 0952820060090020093
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Journal of Korean Cleft Lip & Palate Association
2006 Volume.9 No. 2 p.93 ~ p.100
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Functional repair of the cleft lip and palate using Delaire method
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Song In-Seok
Lee Ho
Lee Su-Yeon
Lee Il-Gu
Myoung Hoon
Choi Jin-Young
Lee Jong-Ho
Choung Pill-Hoon
Kim Myung-Jin
Seo Byoung-Moo
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Abstract
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Although the delayed type of rhinoplasty is currently acceptable in the correction of cleft lip and nasal deformity, Delaire tried to achieve the simultaneous nasolabial reconstruction and muscular rearrangement that affect the subsequent skeletal growth of the face. the anatomic muscular reconstruction can be achieved by making the anchorage of the nasolabial muscles of the cleft side to the nasal septum and muscles on the non-cleft side. Two cleft lip patients of 6 and 7 year-old without any previous operation history were treated with the functional cheilorhinoplasty. One patient with incomplete cleft lip underwent a cheiloplasty along with the rearrangement of orbicularis oris muscle. The other patient had a complete cleft lip and palate with accompanying nasal deformity, who underwent the functional cheilorhinoplasty with the reconstruction of anterior nasal base. All the operation was done under the general anesthesia and patients healed without any significant complications. In the incomplete case, the shapes of Cupid’s bow was restored, and the length of columella was regained comparable to the non-affected side. In the complete cleft lip and palate case, the depressed nostril was reconstructed with acceptable symmetry by complete releasing of deformed alar cartilage undermined with a dissecting scissors. In summary, the functional repair of cleft lip and nose could be possible at the same time by using Delaire method. This method is effective to correct the primary nasolabial deformity, which results in the restoring favorable anatomy and its function.
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KEYWORD
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Functional repair, cleft lip and palate, cheilorhinoplasty
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