일측성 이차 구순열 비변형에서 비공저와 비공턱 함몰의 수술적 교정 (Surgical Correction of Nostril Base and Nostril Sill Depression in Unilateral Secondary Cleft Lip Nose Deformity)

서지정보

· 발행기관 : 대한성형외과학회
· 수록지 정보 : Archives of Plastic Surgery / 36권 / 5호 / 637 ~ 641페이지
· 저자명 : 이수향, 이경진, 최현곤, 김순흠, 신동혁, 엄기일, 황은아

초록

Purpose: Most unilateral secondary cleft lip nose deformities have depressed nostril base and sill on the cleft side. To obtain a symmetric nose, correction of the recession on nostril is critical. The authors have worked out effective methods to elevate the nostril of the cleft side according to the extent of the depression.
Methods: A total of 115 unilateral secondary cleft lip nose deformity patients with nostril depression were evaluated. Data were acquired from patients' charts and photography with special reference to the height difference of the nostrils between the cleft side and the non - cleft side. Patients were divided into three groups based on the difference and operated with various techniques : (1) mild degree(< 1 ㎜) with graft, (2) moderate degree(1 ～ 3 ㎜) with C - flap or suspension suture of septal cartilage (3) severe degree(> 3 ㎜) with graft, C - flap and suspension suture. Follow - up period averaged 21.3 months.
Results: Forty - six patients(40 percent) were in mild group, and forty - two(37 percent) were in moderate. In twenty - seven patients(23 percent), nostril recession was more than 3 ㎜. The elevated nostril base and sill were maintained without height alteration during follow - up.
Conclusion: The symmetry of the nostril base, especially projection of nostril sill influences successful correction of unilateral cleft lip nose deformity. Our tolerable techniques can be applied to most deformities with nostril depression and can present a new guideline.

영어초록

Purpose: Most unilateral secondary cleft lip nose deformities have depressed nostril base and sill on the cleft side. To obtain a symmetric nose, correction of the recession on nostril is critical. The authors have worked out effective methods to elevate the nostril of the cleft side according to the extent of the depression.
Methods: A total of 115 unilateral secondary cleft lip nose deformity patients with nostril depression were evaluated. Data were acquired from patients' charts and photography with special reference to the height difference of the nostrils between the cleft side and the non - cleft side. Patients were divided into three groups based on the difference and operated with various techniques : (1) mild degree(< 1 ㎜) with graft, (2) moderate degree(1 ～ 3 ㎜) with C - flap or suspension suture of septal cartilage (3) severe degree(> 3 ㎜) with graft, C - flap and suspension suture. Follow - up period averaged 21.3 months.
Results: Forty - six patients(40 percent) were in mild group, and forty - two(37 percent) were in moderate. In twenty - seven patients(23 percent), nostril recession was more than 3 ㎜. The elevated nostril base and sill were maintained without height alteration during follow - up.
Conclusion: The symmetry of the nostril base, especially projection of nostril sill influences successful correction of unilateral cleft lip nose deformity. Our tolerable techniques can be applied to most deformities with nostril depression and can present a new guideline.

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