완전 편측성 구순열 및 불완전 구개열 신생아에서 술전 비치조 정형장치를 이용한 치료 - 증례보고

• 영문명: Treatment using Presurgical Nasoalveolar Molding (PNAM) for a Unilateral Cleft Lip and Palate : Case Report
• 발행기관: 대한구순구개열학회
• 저자명: 홍석환 이용빈 정휘동 정영수
• 간행물 정보: 『대한구순구개열학회지』제19권 제2호, 37~43쪽, 전체 7쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2016.12.31

영문 초록

Cleft lip and palate are the most common congenital facial deformities. Surgical approach alone cannot resolve all the various problems in patients with cleft lip and palate. The concept of presurgical infant orthopedics (PSIO) was first introduced by McNeil to reduce the interval of the cleft and to facilitate surgery. In addition to the traditional PSIO concept, Grayson et al. also reported that a presurgical nasoalveolar molding appliance (PNAM), capable of non-surgically expanding short columella and correcting nasal tip cartilage deformities. The newborn with unilateral cleft lip and palate was referred from the department of Neonatology to the department of Oral & Maxillofacial Surgery(OMFS) for evaluation & treatment. The PNAM was applied 19 days after birth. Then the PNAM was applied for 99 days before the operation and the primary lip and nose repair was performed at 118 days after birth. From the result of this case, we could see that preoperative application of PNAM may provide improvement in the esthetics of nasolabial complex and can minimize the scar tissue after surgery by reducing tension on the surgical area. It can also be helpful to normalize the shape of the nose through correcting of the nasal cartilage and extension of columella.

목차

ABSTRACT

Ⅰ. 서론

Ⅱ. 증례보고

Ⅲ. 고찰

Ⅳ. 결론

참고문헌

키워드

Presurgical nasoalveolar molding (PNAM) Unilateral cleft lip and palate