전략적 접근을 통한 미세형 구순열의 수술에서 실제 사용된 술기의 분석 = Analysis of Procedures for Correction of Microform Cleft Lip through Strategic Approaches

다국어 초록 (Multilingual Abstract)

Background: Even though degrees of deformation of microform cleft lip are not high, it has to be corrected with various procedures upon conditions and areas since it has various expressions. Many studies have focused on the classifications and procedures, but there are only a few studies on how much these procedures are performed in the actual field. This study aims to analyze the utilization of various procedures upon major correction points. Methods: A total of 52 patients who had been corrected by one surgeon from 1995 to 2011 were enrolled as subjects. Based on the medical records, it was checked whether the incision was made or not along with the correction procedures for alar base and philtral column, Cupid's bow, and vermillion free margin. Results: In case of an incision, full incision (42 times) was conducted most frequently. For alar base and philtral column, muscle re-approximation (25 times) was performed most frequently. However, recently, it was shown that excision on only the affected area and correction with dermis were more likely to be used. For Cupid's bow and vermilion free margin, elliptical excision on the only affected area followed by re-approximation was performed most frequently for 46 times (Cupid's bow) and 44 times (vermilion free margin), respectively. Conclusion: For the correction of microform cleft lip, less invasive procedures are preferred. However, in the actual field, if needed, aggressive procedures consisting of incisions have been conducted to correction. These trends are somewhat changed to utilization of a simple procedure, such as excision on the modified area, followed by a re-approximation rather than complicated procedures using the muscle.

참고문헌 (Reference)

1 조병채, "이차성 일측성 구순변형과 미세형 구순열에서 구륜근 수직 교차를 이용한 인중주의 재건" 대한성형외과학회 31 (31): 279-286, 2004

2 배남석, "열장장부 이음법을 이용한 구순열성형술" 대한성형외과학회 31 (31): 594-598, 2004

3 Park CS, "The treatment of microform cleft lip patients according to the classification" 26 : 433-439, 1999

4 Onizuka T, "The contour lines of the upper lip and a revised method of cleft lip repair" 27 : 238-252, 1991

5 Cho BH, "Surgical correction of microform cleft lip by small triangular flap" 3 : 6-10, 2002

6 Min BD, "Repair of microform cleft lip with minimal incision" 26 : 834-837, 1999

7 Cho BC, "Refined new technique for correction of the minor-form, microform cleft lip and minor-form bilateral cleft lip through the intraoral incision and long-term results" 127 : 781-783, 2011

8 Onizuka T, "Philtrum formation in the secondary cleft lip repair" 56 : 522-526, 1975

9 Onizuka T, "Operations for microforms of cleft lip" 28 : 293-300, 1991

10 Cho BC, "New technique for correction of the microform cleft lip using vertical interdigitation of the orbicularis oris muscle through the intraoral incision" 114 : 1032-1041, 2004

11 Park BY, "New repair of the occult and mild degree partial cleft lips" 16 : 318-324, 1989

12 Yuzuriha S, "Minor-form, microform, and mini-microform cleft lip: anatomical features, operative techniques, and revisions" 122 : 1485-1493, 2008

13 Desrosiers AE, "Microform cleft lip repair with intraoral muscle interdigitation" 62 : 640-644, 2009

14 Mulliken JB, "Double unilimb Z-plastic repair of microform cleft lip" 116 : 1623-1632, 2005

15 Thomson HG, "Clinical evaluation of microform cleft lip surgery" 75 : 800-804, 1985

16 Byun TH, "Classification and treatment of the microform cleft lip" 22 : 788-800, 1995