측두근막으로 감싼 조각연골을 이용한 최종 편측성 구순열 코성형술: 증례보고

• 영문명: Definitive Unilateral Cleft Rhinoplasty using Diced Cartilage Wrapped with Temporal Fascia: A Case Report
• 발행기관: 대한구순구개열학회
• 저자명: 박영욱
• 간행물 정보: 『대한구순구개열학회지』제25권 제1호, 14~19쪽, 전체 6쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2022.06.30

영문 초록

A 24-year-old male patient showed a right unilateral cleft nasal deformity. Preoperative views demonstrated an asymmetric nose, depressed nasal tip, and flared right alar as well as a low dorsum. Computed tomography also revealed a deviated septum and inferior turbinate hypertrophy on the cleft side. He suffered from the secondary nasal deformity and difficult nasal breathing. Open rhinoplasty was performed via stair-step incision at the columella with a right-sided reverse-U incision. After right inferior turbinectomy, septoplasty was done to relieve the septal deviation whilethrough a section of septal cartilage was removed. Cartilage and fascial grafts were harvested from the right sixth rib and right temporal fascia. Composite reconstruction consisted of a deep foundation layer of spreader graft and columellar strutting overlaid with an esthetic layer of alar-contouring/shield graft and dorsal augmentation using diced cartilage in fascia. Postoperatively, the patient was very satisfied with improved nasal breathing and the esthetic nasal profile.

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증례보고

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키워드

Unilateral cleft lip and palate Secondary cleft nasal deformity Definitive cleft rhinoplasty Diced cartilage in fascia