Open rhinoplasty in cleft nasal repair

구순열 환자에서의 개방형 비성형술

  • Lee, Jong-Ho (Department of Oral and Maxillofacial Surgery, College of Dentistry, Seoul National University) ;
  • Jeon, Se-Il (Department of Oral and Maxillofacial Surgery, College of Dentistry, Seoul National University) ;
  • Myung, Hoon (Department of Oral and Maxillofacial Surgery, College of Dentistry, Seoul National University) ;
  • Lim, Koo-Young (Department of Oral and Maxillofacial Surgery, College of Dentistry, Seoul National University) ;
  • Seo, Byoung-Moo (Department of Oral and Maxillofacial Surgery, College of Dentistry, Seoul National University) ;
  • Choi, Jin-Young (Department of Oral and Maxillofacial Surgery, College of Dentistry, Seoul National University) ;
  • Choung, Pil-Hoon (Department of Oral and Maxillofacial Surgery, College of Dentistry, Seoul National University) ;
  • Kim, Myung-Jin (Department of Oral and Maxillofacial Surgery, College of Dentistry, Seoul National University) ;
  • Nam, Il-Woo (Department of Oral and Maxillofacial Surgery, College of Dentistry, Seoul National University) ;
  • Kim, Jong-Won (Department of Oral and Maxillofacial Surgery, College of Dentistry, Seoul National University) ;
  • Min, Byong-Il (Department of Oral and Maxillofacial Surgery, College of Dentistry, Seoul National University)
  • 이종호 (서울대학교 치과대학 구강악안면외과학교실) ;
  • 전세일 (서울대학교 치과대학 구강악안면외과학교실) ;
  • 명훈 (서울대학교 치과대학 구강악안면외과학교실) ;
  • 임구영 (서울대학교 치과대학 구강악안면외과학교실) ;
  • 서병무 (서울대학교 치과대학 구강악안면외과학교실) ;
  • 최진영 (서울대학교 치과대학 구강악안면외과학교실) ;
  • 정필훈 (서울대학교 치과대학 구강악안면외과학교실) ;
  • 김명진 (서울대학교 치과대학 구강악안면외과학교실) ;
  • 남일우 (서울대학교 치과대학 구강악안면외과학교실) ;
  • 김종원 (서울대학교 치과대학 구강악안면외과학교실) ;
  • 민병일 (서울대학교 치과대학 구강악안면외과학교실)
  • Published : 2000.06.30

Abstract

While in endonasal rhinoplasty transection and resection of nasal structures is primarily used for correction of nasal deformities, open rhinoplasty is performed using stures and repositioning of nasal structures in the repair of severe nasal deformities. We reviewd our experiences in the repair of cleft nasal deformities from 1991 to 1999 year in our institute, and compared the results of open rhinoplasty with endonasal rhinoplasty. In overall 164 cases of rhinoplasty in cleft nasal repair, open rhinoplasty was done in 13 cases. Male patients were 10, female 3(age between 6 to 34 years old). In this article, our experience, together with review of literatures of open rhinoplasty in the cleft nasal deformities are reported.

저자들은 1991년에서 1999년까지 13례의 구순열환자의 개방형 비성형술을 시행하여 비변형이 특히 심한 경우 좋은 결과를 얻었으며, 개방형비성형술은 장력이나 왜곡이 없이 보다 자연스러운 상태에서 노출시킬 수 있기 때문에 비변형의 더 정확한 평가가 가능하였다. 그리고 비구조를 더 만이 노출시킬 수 있었기 때문에 수술이 용이하였으며, 골연골 구조의 변경에 있어 이식체의 대칭적 위치 및 고정하는데 많은 장점이 있었다.

Keywords