Korean Journal of Cleft Lip And Palate (대한구순구개열학회지)

Korean Cleft Lip and Plate Association (대한구순구개열학회)
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Treatment of the infant with bilateral cleft lip and palate

양측성 구순구개열 신생아의 치료

  • Kim Su Jung (Department of Orthodontics, Kyung Hee University) ;
  • Kang Seung Goo (Department of Orthodontics, Kyung Hee University) ;
  • Lee Young Jun (Department of Orthodontics, Kyung Hee University) ;
  • Park Young Guk (Department of Orthodontics, Kyung Hee University)
  • 김수정 (경희대학교 치과대학 교정학교실) ;
  • 강승구 (경희대학교 치과대학 교정학교실) ;
  • 이영준 (경희대학교 치과대학 교정학교실) ;
  • 박영국 (경희대학교 치과대학 교정학교실)
  • Published : 2003.12.01
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Abstract

The case unveils an early orthodontic intervention on 3-week old infant innately with bilateral cleft lip and palate. Presurgical Nasoalveolar Molding(PNAM) procedures were carried out for 2 months for the sake to diminish the anticipated strain of postsurgical scar by means of the retraction of protruded premaxilla and the extension of collapsed columella. The gap on the alveolar cleft decreased by 2,5 mm, and the columella manifested 1. 5 mm increase of its length, which yielded the consequent downward and backward movement of premaxilla, and expected to bring down the technical complexity of primary lip surgery. PNAM with sophisticated technical procedures at an optimal timing disclosed the passive molding of the alveolar segments and the formation of nasolabial soft tissue integuments and permitted one-time primary lip surgery.

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