文章基本信息

标题：Soft tissue reconstruction in wide Tessier number 3 cleft using the straight-line advanced release technique
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作者：Gyeong Hoe Kim ; Rong Min Baek ; Baek Kyu Kim 等
期刊名称：Archives of Craniofacial Surgery
印刷版ISSN：2287-1152
出版年度：2019
卷号：20
期号：4
页码：255-259
DOI：10.7181/acfs.2019.00276
出版社：KoreaMed Synapse
摘要：Craniofacial cleft is a rare disease, and has multiple variations with a wide spectrum of severity. Among several classification systems of craniofacial clefts, the Tessier classification is the most widely used because of its simplicity and treatment-oriented approach. We report the case of a Tessier number 3 cleft with wide soft tissue and skeletal defect that resulted in direct communication among the orbital, maxillary sinus, nasal, and oral cavities. We performed soft tissue reconstruction using the straight-line advanced release technique that was devised for unilateral cleft lip repair. The extension of the lateral mucosal and medial mucosal flaps, the turn over flap from the outward turning lower eyelid, and wide dissection around the orbicularis oris muscle enabled successful soft tissue reconstruction without complications. Through this case, we have proved that the straight-line advanced release technique can be applied to severe craniofacial cleft repair as well as unilateral cleft lip repair.
关键词：Cleft lip;Cleft palate;Congenital abnormality;Craniofacial abnormality;Reconstructive surgical procedure