Surgical correction for Tessier number 7 craniofacial cleft using a medially overcorrected design

Ryu, Jeong Yeop; Eo, Pil Seon; Tian, Lulu; Lee, Joon Seok; Lee, Jeong Woo; Choi, Kang Young; Yang, Jung Dug; Chung, Ho Yun; Cho, Byung Chae

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자료유형: 학술저널

저자정보: Ryu, Jeong Yeop (Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University) Eo, Pil Seon (Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University) Tian, Lulu (Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University) Lee, Joon Seok (Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University) Lee, Jeong Woo (Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University) Choi, Kang Young (Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University) Yang, Jung Dug (Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University) Chung, Ho Yun (Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University) Cho, Byung Chae (Department of Plastic and Reconstructive Surgery, School of Medicine, Kyungpook National University)

저널정보: 대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제46권 제1호

발행연도: 2019.1

수록면: 16 - 22 (7page)

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Background Various surgical techniques have been used to correct Tessier number 7 craniofacial cleft, which involves macrostomia, ear deformity, and hemifacial microsomia. To achieve symmetrical and satisfactory results in patients with macrostomia, the authors performed a 1-mm medial overcorrection on the cleft side and evaluated the results of this procedure. Methods A retrospective medical record review of patients diagnosed with Tessier number 7 craniofacial cleft from March 1999 to February 2017 was performed. Using clinical photographs, outpatient clinic records, and operative records, information was recorded regarding concurrent congenital anomalies, postoperative complications, and follow-up. Using Photoshop CS2, the length of both sides of the lip was compared. The ratio of these lengths was calculated to evaluate lip symmetry. Results Of the patients treated at the Department of Plastic and Reconstructive Surgery at Kyungpook National University Chilgok Hospital, 11 (male-to-female sex ratio, 7:4) were diagnosed with Tessier number 7 craniofacial cleft. Concurrent congenital anomalies included skin tag, hemifacial microsomia, and cleft palate. The mean duration of follow-up was $78.273{\pm}72.219$ months and the mean ratio of the lengths of both sides of the lip was $1.048{\pm}0.071$. Scar widening occurred as a postoperative complication in some patients. No cases of wound infection, bleeding, or wound dehiscence occurred. Conclusions For the successful correction of macrostomia, plastic surgeons should consider both functional and aesthetic problems of the lip. Adequate repair of the orbicularis oris muscle, skin closure with Z-plasty, and medial overcorrection of the neo-oral commissure led to good results in our patients.

#Orofacial cleft 7 #Macrostomia #Surgical procedures, operative

참고문헌 (19)

참고문헌 신청

Franco D / 2007 / Commissuroplasty for macrostomia / J Craniofac Surg 18:691~694

Fadeyibi IO / 2010 / Macrostomia : a study of 15 patients seen in Lagos, Nigeria and proposal for a classification of severity / J Plast Surg Hand Surg 44:289~295

Sowande OA / 2011 / Macrostomia : a report of three cases / Ann Plast Surg 66:354~356

Gunturu S / 2014 / Macrostomia : a review of evolution of surgical techniques / Case Rep Dent 2014:471353

Neligan P / 2018 / Plastic surgery, vol 3 / Elsevier Saunders

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