편측성 완전 구순구개열 환자에서 보형물을 이용한 비익저 볼륨 회복 및 이차 비성형술

• 영문명: Restoration of Nasolabial Volume Using Implants and Secondary Cleft Rhinoplasty in a Patient with Unilateral Cleft Lip and Palate: A Case Report
• 발행기관: 대한구순구개열학회
• 저자명: 강지연(Ji-Yeon Kang)
• 간행물 정보: 『대한구순구개열학회지』제25권 제2호, 52~57쪽, 전체 6쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2022.12.31

영문 초록

Facial asymmetry with nasal deformities in patients with unilateral cleft lip and palate mayremain even after primary cheiloplasty with cleft rhinoplasty due to the cleft expressionseverity, genetically programmed maxillary growth deficiency, and the use of surgicalcorrection techniques. It can be corrected by performing definitive cleft rhinoplasty whenthe nasal skeleton growth is complete; however, achieving satisfactory results is difficult. In this case, the fundamental approach was used due to the absence of hard tissue supportcaused by anatomical defects. Porous polyethylene implants were used to raise the paranasaland subnasal bases by replacing the missing marginal contour of the piriform aperture,which improved the outcomes of cleft rhinoplasty. Synthetic facial implants have been usedas an alternative to autologous augmentation in various situations. In patients with cleftdeformities, facial implants can be a good option for the esthetic enhancement of asymmetryand volume deficiency.

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키워드

Unilateral cleft rhinoplasty Secondary cleft nasal deformity