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류재만,김잉곤,홍승업,엄기일 大韓成形外科學會 1995 Archives of Plastic Surgery Vol.22 No.6
The secondary cleft lip nose deformities show complex deformities of nasal cartilage, septum, nasal bone, piriform aperture and maxilla. The external characteristic of cleft lip nose deformity is conspicuously shown by alar deformities. The nasal septum and bone deformities on the cleft side have a tendency to deviate totally toward the non-cleft side. Occasionally the nasal septum is dislocated from the vomer and the anterior nasal spine and nasal septum are displaced toward the noncleft side. The anatomical structure of the nasal cartilage in the cleft lip nose is well known. There are also many methods of treatment for nasal cartilage deformities. But the anatomical structures as well as treatment methods for deformities of the nasal bone & septum in the secondary cleft lip nose deformity have rarely been reported. The author intends to explain the anatomical characteristics of deformities of the nasal bone, maxilla, and nasal septum and to suggest surgical treatment methods accordind to 98cases reported recently. The anatomic characteristics are deviation of nasal bony pyramid, deviation of anterior nasal spine and vomer, crooked septum, septal dislocation sometimes, turbinate hypertrophy. The surgical methods for radical corrective rhinoplasty include bilateral osteotomies of the lateral pyramids of the nasal bone, infracturing, sepal dislocation and fixation of the septum, turbinecomy, and submucosal resection, if needed. We performed 98 cases and follow-up period was from 6 months to 4 years. We have gained the results of median location of deviated nasal skeleton, improved nasal airway, good nasal symmetry. In conclusion, secondary cleft lip nose deformities are deviation of nasal bony pyramid, deviation of anterior nasal spine and vomer, crooked septum, septal dislocation sometimes, turbinate hypertrophy. Radical corrective rhinoplasty is needed for median location of deviated nasal skeleton, improved nasal airway, good nasal symmetry.
류재만,엄기일,김잉곤,홍승업 大韓成形外科學會 1995 Archives of Plastic Surgery Vol.22 No.6
Double eyelid operation is the most frequent method for cosmetic purposes in Korean women. It is believed that beautiful eyes have wide apertures, thin lids, naturaly looking folds of proper width and length, without epicanthal folds, under the influence of western culture. Double eyelid operations are classified into an in-fold type and an out-fold type. The in-fold type is a common operation method with a more naturaly looking result. However, the medial side of the fold is too shallow and low sided due to the epicanthal fold. The out-fold type is prominent and brisky but this result is an unnatural fold of the medial side due to the epicanthal fold. From september, 1992 to January, 1995 we have performed 52 cases of double eyelid operations in oriental women using procedures in which epicanthal fold excision and medial canthal fixation were performed. The patients' ages ranged from 13 to 49 years. (mean : 22.3 yr. old). There were 5 males and 47 females. After thorough follow-up (mean : 18.3 mo.), 50 cases showed excellent results, providing a wide lid aperture, reduced intercanthal distance, naturaly looking attractive folds of proper width and length without epicanthal folds.