지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 141 - 151 (11page)
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초록· 키워드
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Objectives: The outcomes of the treatment of unilateral cleft lip can vary considerably due to variations in repair techniques. The aim of this study was to evaluate and compare treatment outcomes of surgical repair of unilateral cleft lip using either the Tennison–Randall or Millard technique based on (qualitative) parent/subject and professional assessments. Materials and Methods: This was a prospective, randomized, controlled study conducted at Lagos University Teaching Hospital between January 2013 and July 2014. A total of 56 subjects with unilateral cleft lip presenting for primary surgery who satisfied the inclusion criteria were recruited for the study. Subjects were randomly allocated to surgical groups A or B through balloting. Group A underwent cleft repair with the Tennison–Randall technique, while group B underwent cleft repair with the Millard rotation advancement technique. Surgical outcome was assessed using qualitative evaluation by the guardian/subject and independent assessors based on a modified form of the criteria described by Christofides and colleagues. Results: Of the 56 subjects enrolled in this study, 32 were male, with a male to female ratio of 1.3:1. Fifteen of the guardians/subjects in the Tennison–Randall group were most bothered about the lower part of the residual lip scar, while 12 guardians/subjects in the in the Millard group were most bothered about the upper part of the scar. More noses were judged to be flattened in the Millard group than in the Tennison–Randall group. Assessors observed a striking disparity in scar transgression of the philtral ridges between the two groups. Conclusion: Essentially, there were no major difference in the overall results between Millard rotation-advancement and Tennison–Randall repairs. Both Millard and Tennison–Randall’s techniques require significant improvements to improve the appearance of the scar on the upper part and lower part of the lip, respectively.
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참고문헌 (42)
참고문헌 신청
Arosarena OA / 2007 / Cleft lip and palate / Otolaryngol Clin North Am 40:27~60
Koppel D. / 2004 / Bailey & Love's short practice of surgery / Arnold :645~663
Demke JC / 2011 / Analysis and evolution of rotation principles in unilateral cleft lip repair / J Plast Reconstr Aesthet Surg 64:313~318
Nwoku AL / 1976 / Experiences on the surgical repair of unoperated adult cleft patients in Nigeria / Niger Med J 4:417~421
Tan O / 2007 / Triangular with Ala nasi(TAN)repair of unilateral cleft lips : a personal technique and early outcomes / J Craniofac Surg 18:186~197
Koppel D. / 2004 / Bailey & Love's short practice of surgery / Arnold :645~663
Demke JC / 2011 / Analysis and evolution of rotation principles in unilateral cleft lip repair / J Plast Reconstr Aesthet Surg 64:313~318
Nwoku AL / 1976 / Experiences on the surgical repair of unoperated adult cleft patients in Nigeria / Niger Med J 4:417~421
Tan O / 2007 / Triangular with Ala nasi(TAN)repair of unilateral cleft lips : a personal technique and early outcomes / J Craniofac Surg 18:186~197
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