KMID : 1033720120130010011
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Archives of Craniofacial Surgery 2012 Volume.13 No. 1 p.11 ~ p.21
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Surgical Treatment of the Unilateral and Bilateral Cleft Lip Patients Using Mulliken Method: 10 Year Results
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Kim Seok-Kwun
Kim Tae-Heon Park Su-Sung Lee Keun-Cheol
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Abstract
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Purpose: Mulliken¡¯s method allows for normal nasal and lip growth, which in turn forms a natural shape of the philtrum. Therefore, we used a modified Mulliken¡¯s method to correct unilateral and bilateral cleft lip nasal deformities and followed the patients for 10 years.
Methods: Ninety-one patients, who had undergone repair of unilateral and bilateral cleft lip and nasal deformity simultaneously using Mulliken¡¯s method during the time period from June 1997 to June 2009, were enrolled into this study. To follow-up of the growth of the lips and nose after the operation, the following 5 anthropometric measurements were analyzed: nasal tip protrusion, columellar length, upper lip height, cutaneous lip height, and vermilion mucosa height.
Results: Using this method, we obtained a result that there was no significant difference in the development of the lip compared to the normal control group, and that the bilateral cleft lip patients¡¯ nasal projection and columellar length was shorter than that in normal persons. Both measures were statistically significant.
Conclusion: Mulliken¡¯s method is a superb surgical technique, which enables the normal development of the nose and lip, which further allows for the innate philtrum appearance. The author¡¯s result does not seem to be meaningful, because the normal rate of nasal growth is slow before adolescence; however, we recommend additional follow-up and accordant treatment, if needed, once the nasal growth is complete.
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KEYWORD
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Cleft lip, Methods, Follow-up studies
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