Soft tissue reconstruction in wide Tessier number 3 cleft using the straight-line advanced release technique
| Autor: | Gyeong Hoe Kim, Baek Kyu Kim, Rong Min Baek |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Maxillary sinus
Craniofacial abnormality Reconstructive surgical procedure Case Report 03 medical and health sciences 0302 clinical medicine Soft tissue reconstruction medicine Craniofacial 030223 otorhinolaryngology Orthodontics business.industry Cleft lip Orbicularis oris muscle Soft tissue 030206 dentistry medicine.disease Dissection medicine.anatomical_structure Otorhinolaryngology Cleft palate Surgery Eyelid business Congenital abnormality |
| Zdroj: | Archives of Craniofacial Surgery |
| ISSN: | 2287-5603 2287-1152 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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