구순구개열을 가진 환자의 악교정 수술 시 고려사항

• 영문명: Considerations for Orthognathic Surgery in Cleft Lip and Palate Patients
• 발행기관: 대한구순구개열학회
• 저자명: 심유송(You-Song Sim) 최송제(Song Jay Choi) 한정준(Jeong Joon Han) 정승곤(Seunggon Jung) 국민석(Min-Suk Kook) 오희균(He
• 간행물 정보: 『대한구순구개열학회지』제23권 제1호, 1~5쪽, 전체 5쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2020.06.30

영문 초록

Orthognathic surgery may be the last operation for the cleft lip and palate patients. The correction of jaw discrepancy can be performed by orthognathic surgery. The growth of maxilla affects by the cheiloplasty and palatoplasty. The mandibular growth of the cleft lip and palate patient follows the normal population. So cleft lip and palate patient can have a mandibular retrognathism or prognathism with similar incidence of the normal population. There are several considerations for the planning and performing orthognathic surgery in the cleft lip and palate patient. First, nasomaxillary and velopharyngeal anatomy are different from the normal population. This anatomic difference should be considered for planning and during operation to reduce complications after surgery. Second, the surgeon should decide which jaw will be operated. Third, if the maxillary surgery is planned, the surgeon should decide which technique will be used for maxillary advancements, such as Le Fort I osteotomy as a conventional orthognathic surgery or maxillary distraction osteogenesis. Fourth, the velopharyngeal function of the cleft lip and palate patient should be considered before and after the operation. Fifth, alveolar bone graft in the cleft alveolus area is also an important consideration. The last consideration is the airway behind the mandible. If the mandibular setback surgery is considered, the airway should be analyzed before the operation. In this paper, five considerations for orthognathic surgery in cleft lip and palate patients will be discussed.

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Orthognathic surgery Cleft lip and palate