• 검색어에 아래의 연산자를 사용하시면 더 정확한 검색결과를 얻을 수 있습니다.
  • 검색연산자
검색연산자 기능 검색시 예
() 우선순위가 가장 높은 연산자 예1) (나노 (기계 | machine))
공백 두 개의 검색어(식)을 모두 포함하고 있는 문서 검색 예1) (나노 기계)
예2) 나노 장영실
| 두 개의 검색어(식) 중 하나 이상 포함하고 있는 문서 검색 예1) (줄기세포 | 면역)
예2) 줄기세포 | 장영실
! NOT 이후에 있는 검색어가 포함된 문서는 제외 예1) (황금 !백금)
예2) !image
* 검색어의 *란에 0개 이상의 임의의 문자가 포함된 문서 검색 예) semi*
"" 따옴표 내의 구문과 완전히 일치하는 문서만 검색 예) "Transform and Quantization"
쳇봇 이모티콘
ScienceON 챗봇입니다.
궁금한 것은 저에게 물어봐주세요.

논문 상세정보

일측성 구순열비변형에서 다공성 폴리에틸렌 판을 이용한 상악골이상구증대술

Augmentation of Pyriform Margin Using Porous High-Density Polyethylene Sheet In Unilateral Cleft Lip Nasal Deformity


Purpose: The common deformity after the correction of unilateral cleft lip nasal deformity is nasal asymmetry, and it is caused by the hypoplasia of the pyriform aperture. To correct this, many procedures have been applied, but still many problems are present. Authors performed the inlay and onlay insertion of porous high density polyethylene sheet(1 mm thickness $Medpor{(R)}$ sheet) in the hypoplastic pyriform margin of cleft side and obtained satisfactory results. Methods: 11 cases were performed and the mean follow up period was 15.1 months. Their mean age was 23.6 years. Under general anesthesia, bilateral pyriform margin was exposed. $Medpor{(R)}$ sheets in "match stick" like shaped were inlay inserted, and kidney shaped were onlay inserted fixating with two 6 mm titanium screws. After the surgery, the results was evaluated by photogrammetric analysis. On the basal view, the distance from the subalare and labiale superius' to the transverse baseline connecting the both cheilions was measured from the cleft side and the non-cleft side. Then, the postoperative symmetry was assessed by obtaining the cleft side against the non-cleft side as proportion index, defined as lateral and medial upper lip contour index. Results: There were 2 infections. The cause was because the inserted implant was too long and thus protruded to the base of nasal cavity. The lateral upper lip contour index was from 95.49 to 103.27, and medial upper lip contour index was from 90.92 to 100.49, it was statistically increased, and thus the symmetry was improved. However clinically mild depression remained at nostril floor. Conclusion: Authors performed porous high density polyethylene sheet inlay and onlay insertion for the hypoplasia of the pyriform margin in unilateral cleft lip nasal deformity. It was found that depressed pyriform margin and upper lip were corrected effectively except for the nostril floor, for which an additional soft tissue augmentation would be necessary. The inlay insertion has risk of protrusion, thus the guideline of the use of artificial prosthesis should be observed strictly.

참고문헌 (15)

  1. Converse JM, Hogan VM, Barton FE: Secondary deformities of unilateral cleft lip and nose, and cleft palate. In WC Grabb, Rosenstein SE, Bzoch KR.(eds): Cleft Lip and Palate. Boston, Little Brown & Co., 1971, p 2165 
  2. Huffman WC, Lierle DM: Studies on the pathologic anatomy of the unilateral harelip nose. Plast Reconstr Surg 4: 225, 1949 
  3. Fisher DM, Lo LJ, Chen YR, Noordhoff MS: Three- dimensional computed tomographic analysis of the primary nasal deformity in 3-month-old infants with complete unilateral cleft lip and palate. Plast Reconstr Surg 103: 1826, 1999 
  4. Cosman B, Crikelair GF: The reconstruction of the unilateral cleft lip nasal deformity. Cleft Palate J 31: 95, 1965 
  5. Skoog T: Repair of the cleft maxilla using periosteal flap. Panminerva Med 9: 405, 1967 
  6. Maisels DO: The alar base composite graft in cleft lip noses. Br J Plast Surg 31: 220, 1978 
  7. Ariyan S, Krizek TJ: A simplified technique for correction of the cleft lip nasal deformity. Ann Plast Surg 1: 568, 1978 
  8. Farrior RT: The problem of the unilateral cleft lip nose. A composite operation for revision of the secondary deformity. Laryngoscope 72: 289, 1962 
  9. Longacre JJ, Halak DB, Munick LH, Johnson HA, Chunekamrai D: A new approach to the correction of the nasal deformity following cleft lip repair. Plast Reconstr Surg 38: 555, 1966 
  10. Van der Wal KG, van der Meulen BD, van der Biezen JJ, Mulder JW: Bone grafting the piriform aperture deformity in isolated cleft lip patients: indication, technique, and results. J Oral Maxillofac Surg 55: 1089, 1997 
  11. Shin KS: Correction of cleft lip nose deformity. J Korean Soc Plast Reconstr Surg 11: 245, 1984 
  12. Jackson IT, Vandervord JG, McLennan JG, Christie FB, McGregor JC: Bone graft of the secondary cleft lip & palate deformity. Br J Plast Surg 35: 345, 1982 
  13. Finn RA, Bell WH, Brammer JA: Interpositional "grafting" with autogenous bone and coralline hydroxyapatite. J Maxillofac Surg 8: 217, 1980 
  14. Sclafani AP, Romo T 3rd, Silver L: Clinical and histologic behavior of exposed porous high-density polyethylene implants. Plast Reconstr Surg 99: 41, 1997 
  15. Kohout MP, Aljaro LM, Farkas LG, Mulliken JB: Photogrammetric comparison of two methods for synchronous repair of bilateral cleft lip and nasal deformity. Plast Reconstr Surg 102: 1339, 1998 

이 논문을 인용한 문헌 (1)

  1. Han, Ki-Hwan ; Jeong, Jin-Wook ; Park, Mu-Sik ; Kim, Jun-Hyung ; Son, Dae-Gu 2010. "Complete Septal Extension Graft using Porous High-Density Polyethylene Sheet or Septal Cartilage in Unilateral Cleft Lip Nasal Deformities: Photogrammetric Analysis" 大韓成形外科學會誌 = Journal of the Korean society of plastic and reconstructive surgeons, 37(4): 400~408 


원문 PDF 다운로드

  • 원문 PDF 정보가 존재하지 않습니다.

원문 URL 링크

  • 원문 URL 링크 정보가 존재하지 않습니다.

원문 PDF 파일 및 링크정보가 존재하지 않을 경우 KISTI DDS 시스템에서 제공하는 원문복사서비스를 사용할 수 있습니다. (원문복사서비스 안내 바로 가기)

상세조회 0건 원문조회 0건

DOI 인용 스타일