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대한구순구개열학회지

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전체선택 Endnote Refworks
구순구개열 환자의 골격 기형 수술 후 안정성
구순구개열 환자의 골격 기형 수술 후 안정성
박지호(Jiho Park),이환규(Hwangyu Lee),김준영(Jun-Young Kim),박진후(Jin Hoo Park),정영수(Young-Soo Jung),정휘동(Hwi-dong Jung)
대한구순구개열학회지 제23권 제2호/ 2020
43-51 (9 pages)
의약학>기타의약학
초록보기
Successful treatment of cleft lip and palate requires a high level of understanding of the complexity of anomalies and insights for predicting the four-dimensional change of growth. In addition, the surgeon needs to take responsibility for the life-long step-by-step operation that has profound effect on the patient. Alveolar cleft, which occurs in about 75% of cleft lip and palate patients, cannot be recovered without surgical treatment and can cause complications in various areas. However, there remains a lot of debate about the timing of the treatment of alveolar cleft. As a result of an intrinsic defect or previous surgery, patients with cleft lip and palate develop maxillary deficiency in all 3 dimensions with constricted maxillary arch. Therefore maxillary advancement surgery is indicated in about most patients with cleft lip and palate undergoing orthognathic surgery. Therefore, the authors will introduce the consensus of treatment and principles that must be observed in corrective surgery for skeletal abnormalities occurring in cleft lip and palate patients through literature review.
Goal: The purpose of this systematic review was to examine the trends of clinical intervention research for individuals with lifelong cases of bilateral cleft lip and palate. The examined literature covered surgical corrections, orthodontic and prosthetic treatments, speech-language development, and the psychosocial aspects of the condition. Method: Eight databases were searched to identify articles related to bilateral cleft lip and palate published between 2000 and September 2020. All documents containing the words “bilateral cleft lip and palate” in the title were searched, and documents were excluded according to the exclusion criteria. Studies that reported results without classifying cleft palate types were also excluded. Results: A total of 212 articles were analyzed. All subjects were classified and analyzed based on 10 periods of lifecycles. Studies on bilateral cleft lip and palate were found to be steadily increasing; research was also being actively conducted in various countries. Bilateral cleft lip and palate were most actively studied in childhood, followed by adolescence, late childhood, and then early adulthood. The most frequent research topics were oral and maxillofacial surgery (simple structure/treatment result) and dentistry (simple structure/treatment result). The number of speech-language ability studies related to the recovery of velopharyngeal function and psychosocial studies associated with quality of life was low in comparison. Conclusion: This review found that studies on oral and maxillofacial surgery (simple structure/treatment result) and dentistry (simple structure/treatment result) were the most abundant. This result suggests that more studies on speech-language outcomes and psychosocial aspects are needed.
This study aims to find visual parameters of Korean articulation map to develop speech therapy guidelines for children with CLP. Understanding the anatomical mechanism of Korean alphabet, Hangeul, production is probably the basic step to provide appropriate speech intervention for anybody in need. The Korean consonant consists of relatively high percentage of plosives which need high oral pressure and the manner of voiceless plosive sounds are differentiated by three according to their features called, ‘tense,’ ‘aspirated.’ These features make it difficult to perceive or produce for people who have problems with hearing and/or orofacial structure like cleft palate. As a basic step to develop an articulation place map for Hangeul, this study searched journals on speech perception to find the visual parameters which contribute the most to perceive speech sounds. The extracted visual parameters are as follows: A change of musculature tension and length, movements of orofacial structure, a shape of vocal tract, aerodynamic interactions, and acoustical features released.
양측성 비대칭 구순열 환자의 치료
양측성 비대칭 구순열 환자의 치료
최한솔(Han-Sol Choi),김준영(Jun-Young Kim),박지호(Jiho Park),박진후(Jin Hoo Park),정휘동(Hwi-dong Jung),정영수(Young-Soo Jung)
대한구순구개열학회지 제23권 제2호/ 2020
66-71 (6 pages)
의약학>기타의약학
초록보기
The correction of asymmetrical bilateral cleft lip is challenging because of its high variability in the lip and nasal tissues. It is the first principle to establish symmetry in bilateral cleft lip of which is indisputable. However, staging and timing in treatment of asymmetrical bilateral cleft including lesser form cleft is controvertible issue. This article aims to report a case about synchronous bilateral nasolabial repair for the patient with asymmetrical bilateral cleft lip with incomplete left and minor form right. and to compare the staging and timing of the repair of asymmetrical bilateral cleft lip including lesser form cleft between the techniques of Mulliken and Fisher.
편측성 구순구개열 환자의 상악 전진술을 통한 안모개선 치험례
편측성 구순구개열 환자의 상악 전진술을 통한 안모개선 치험례
이재남(Jaenam Lee),전영재(Youngjae Jeon),경희문(Heemoon Kyung),홍미희(Mihee Hong)
대한구순구개열학회지 제23권 제2호/ 2020
72-81 (10 pages)
의약학>기타의약학
초록보기
Cleft lip and/or palate (CLP) is the most common congenital deformity in the craniofacial region. The growth and development of maxilla is restrained by scars on upper lip and palatal region. This case report is about a patient with unilateral cleft lip and palate patient. Our patient had his first visit at age of eight, however, his compliance was not good enough for treatment effect from his Face-mask wearing. Returning back to the department at 19-year-old, rapid palatal expansion appliance was used for expansion of narrowed maxillary arch and the dental decompensation was completed after maxillary teeth were well aligned. Finally, the second orthodontic treatment and orthognathic-surgery with iliac bone graft were performed for functional and esthetic improvement of maxilla and mandible. After two-year follow up, we could find some horizontal relapse on cleft palate area.
성인 편측성 구순구개열 환자에서 비수술적 상악 확장후 순측 호선에 의한 장기간 폭경 유지 증례
성인 편측성 구순구개열 환자에서 비수술적 상악 확장후 순측 호선에 의한 장기간 폭경 유지 증례
전지윤(Ji Yoon Jeon),성의향(Eui-Hyang Sung),최태현(Tae-Hyun Choi),이기준(Kee-Joon Lee)
대한구순구개열학회지 제23권 제2호/ 2020
82-90 (9 pages)
의약학>기타의약학
초록보기
Purpose: We report a case of an adult patient with skeletal Class II hyperdivergent and complete unilateral cleft lip and palate (UCLP, left side), whose severe transverse discrepancy was successfully resolved via nonsurgical maxillary expansion followed by unintentional long-term maintenance with buccal archwire. Case: A 26-year-old female patient with skeletal Class II hyperdivergent and complete UCLP showed maxillary constriction with bilateral posterior crossbite. To solve transverse discrepancy mainly in the posterior area, nonsurgical rapid palatal expansion was attempted twice. During comprehensive orthodontic treatment, treatment was discontinued for 10 years and 1 month in total due to inadvertent absence of the patient. Meanwhile, buccal archwire was retained without bone graft. After extraction of the maxillary right first premolar and the mandibular both first premolars, space closure was conducted to complete the treatment at Class I molar relation. After orthodontic treatment, the intermolar width between the maxillary first right and left molars was increased by 10.5 mm and acceptable transverse relationship was achieved. Conclusion: Nonsurgical maxillary expansion with long-term transverse control may be effective for severe maxillary constriction in an adult patient with UCLP. Bone graft does not appear to be essential for the stability.
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