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
- 2013.1
- 수록면
- 29 - 39 (11page)
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초록· 키워드
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The final treatment goal for the cleft patients is recovery of normal function, establishment of facial esthetics and positive self-concept. Most of the cleft patients have mild to moderate midfacial deficiency as well as mandibular prognathism, which needs orthognathic surgery or distraction osteogenesis. However, for the case of cleft patients, there are much more things to be considered than non-cleft patients. Those are increased risk of maxillary segment necrosis due to the inadequate perfusion, inadequately treated alveolar cleft making the operation difficult and complex, concomitant nasal deformity, absence of adequate landmark for facial analysis, velopharyngeal insufficiency related with maxillary advancement, etc. In our case, the patient has the problem that is a combination of mild to moderate maxillary deficiency and mandibular prognathism. Therefore, we decided that the conventional orthognathic surgery was sufficient to correct the patient's malocclusion and facial disharmony. There was no need of bone graft to the alveolar ridge of the affected side as the patient had already undergone successful alveoloplasty previously. We could get a satisfactory result with the conventional two jaw surgery. In this article, we reported a case previously well operated for cleft lip and palate with particular concerns about orthognathic surgical plan and intraoperative situation.
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