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KMID : 1036320190410010055
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Maxillofacial Plastic and Reconstructive Surgery
2019 Volume.41 No. 1 p.55 ~ p.55
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Orbicularis oris muscle reconstruction and cheiloplasty with Z-plasty in a patient with a transverse facial cleft
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Koh Sung-Hyuk
Jeong Yeon-Woo
Han Jeong-Joon
Jung Seung-Gon
Kook Min-Suk
Oh Hee-Kyun
Park Hong-Ju
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Abstract
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Background: Transverse facial clefts are Tessier’s number 7 facial cleft among numbers 1?15 in Tessier’s classification of craniofacial malformations, which varies from a simple widening oral commissure to a complete fissure extending towards the external ear.
Case presentation: In a patient with a transverse facial cleft, to functionally arrange the orbicularis oris muscle and form the oral commissure naturally, we performed a surgical procedure including orbicularis oris muscle reconstruction and cheiloplasty with Z-plasty.
Conclusion: We achieved good results functionally and esthetically by orbicularis oris muscle reconstruction and cheiloplasty with Z-plasty. The surgical modality of our anatomical repair and 3?months follow-up results are presented.
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KEYWORD
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Transverse facial cleft, Hemifacial microstomia, Orbicularis oris muscle, Cheiloplasty
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