KMID : 0952820090120020065
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Journal of Korean Cleft Lip & Palate Association 2009 Volume.12 No. 2 p.65 ~ p.72
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Quadrilateral Flap Technique Applied for Complete Cleft Lip Patients - Report of cases -
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Nam Il-U
Lee Ju-Hwan lee In-Woo Seo Byoung-Moo
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Abstract
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Quadrilateral flap technique for primary cheiloplasty in patients with cleft lip was initially developed by Hagedorn in 1884. After Le Mesurier presented this procedure in 1940¡¯s, many surgeons adopted this technique for clinical advantage of reconstruction of Cupid¡¯s bow and lesser amount of tissue discarding than straight line technique. However, owing to its drawbacks such as sacrifice of Cupid¡¯s bow and prominent scar on philtral ridge, other techniques like Tennison¡¯s triangular flap and Millard¡¯s rotation-advancement flap have gradually taken its place. Nevertheless, some clinicians like Dr. Wang has modified this quadrilateral flap technique for better clinical outcomes. In this report we present 3 cases of unilateral complete cleft lip patients who underwent primary cheiloplasty with favorable outcomes based on Dr. Wang¡¯s modified quadrilateral flap technique.
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KEYWORD
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Quadrilateral flap, Le Mesurier, Wang¡¯s modification
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