구순구개열 미션 시 구개열 수술에 대한 분석

• 영문명: Analyzing Palatoplasty during Cleft Mission
• 발행기관: 대한구순구개열학회
• 저자명: 박영욱(Young-Wook Park) 이석근(Suk-Keun Lee) 권광준(Kwang-Jun Kwon) 김성곤(Seong-Gon Kim) 팽준영(Jun-Young Paeng) 황
• 간행물 정보: 『대한구순구개열학회지』제23권 제1호, 14~19쪽, 전체 6쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2020.06.30

영문 초록

Objective: The cleft lip and/or palate is the most common congenital anomaly with a high incidence within developing or low-income countries. To overcome the disease burden, humanitarian international missions are essential. In mission operation, patients never underwent any type of preoperative hospital care. Moreover, lots of patients past appropriate time of surgery. Therefore, we investigated primary palatoplasties in mission environments with regard to patients’ age and operation modality. Materials and Methods: The subjects included 106 patients who wanted palatoplasty during cleft missions in Vietnam. Medical records and peri-operative clinical photographs were analyzed retrospectively. Results: Primary palatoplasty was performed at the age of 72.5 months on average. Clinically, incomplete cleft palate was 61.3%. Main surgical technique was V-Y push-back operation with intravelar veloplasty (68%). Additional surgical procedures were pedicled buccal fat pad (33%) and vomer flap (16%). Postoperatively, no motality and any transfusion was not performed. Until 1 month after palatoplasty, fistula rate was 3.8%. Conclusion: For management of untreated cleft palate, which past the appropriate time of palatoplasty, pedicled buccal fat pad could be a reliable additional procedure to decrease postoperative fistula rate.

목차

서론

대상 및 방법

결과

고찰

요약 및 결론

키워드

Cleft mission Palatoplasty Palatal fistula Pedicled buccal fat pad