뮬리켄법을 이용한 일측성 및 양측성 구순열 환자의 수술: 10년 후의 결과 = Surgical Treatment of the Unilateral and Bilateral Cleft Lip Patients Using Mulliken Method: 10 Year Results

다국어 초록 (Multilingual Abstract)

Purpose: Mulliken's method allows for normal nasal and lip growth, which in turn forms a natural shape of the philtrum. Therefore, we used a modified Mulliken's method to correct unilateral and bilateral cleft lip nasal deformities and followed the patients for 10 years. Methods: Ninety-one patients, who had undergone repair of unilateral and bilateral cleft lip and nasal deformity simultaneously using Mulliken's method during the time period from June 1997 to June 2009, were enrolled into this study. To follow-up of the growth of the lips and nose after the operation, the following 5 anthropometric measurements were analyzed: nasal tip protrusion, columellar length, upper lip height, cutaneous lip height, and vermilion mucosa height. Results: Using this method, we obtained a result that there was no significant difference in the development of the lip compared to the normal control group, and that the bilateral cleft lip patients' nasal projection and columellar length was shorter than that in normal persons. Both measures were statistically significant. Conclusion: Mulliken's method is a superb surgical technique, which enables the normal development of the nose and lip, which further allows for the innate philtrum appearance. The author's result does not seem to be meaningful, because the normal rate of nasal growth is slow before adolescence; however, we recommend additional follow-up and accordant treatment, if needed, once the nasal growth is complete.

참고문헌 (Reference)

1 Manchester WM, "The repair of double cleft lip as part of an integrated program" 45 : 207-, 1970

2 Tolhurst DE, "Secondary correction of the unilateral cleft lip nose deformity" 36 : 449-, 1983

3 Koopmann CF Jr, "Secondary cleft lip rhinoplasty: an external approach" 5 : 167-, 1988

4 Onizuka T, "Procedures for repair of the cleft lip nose" 7 : 179-, 1983

5 Mulliken JB, "Principles and techniques of bilateral complete cleft lip repair" 75 : 477-, 1985

6 McComb H, "Primary correction of unilateral cleft lip nasal deformity: a 10–year review" 75 : 791-, 1985

7 Kim SK, "Primary correction of unilateral cleft lip nasal deformity in Asian patients: anthropometric evaluation" 114 : 1373-, 2004

8 Salyer KE, "Primary correction of the unilateral cleft lip nose: a 15–year experience" 77 : 558-, 1986

9 Kim SK, "Long–term results in the bilateral cleft lip repair by Mulliken's method" 20 : 1455-, 2009

10 Ortiz–Monasterio F, "Corrective rhinoplasty before puberty: a long–term follow–up" 68 : 381-, 1981

11 Mulliken JB, "Bilateral complete cleft lip and nasal deformity: an anthropometric analysis of staged to synchronous repair" 96 : 9-, 1995

12 Millard DR, "Bilateral cleft lip and a primary forked flap: a preliminary report" 39 : 59-, 1967