Lee Hyun Seung, Seo Hyung Joon, Bae Yong Chan
Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Korea.
Biomedical Research Institute, Pusan National University Hospital, Busan, Korea.
Arch Plast Surg. 2021 Nov;48(6):630-634. doi: 10.5999/aps.2021.00857. Epub 2021 Nov 15.
To date, there have been no reports of patients showing a Tessier number 7 cleft with unilateral complete cleft lip and palate. Furthermore, no studies have established the sequence, plan, or timing of surgical methods for treating patients presenting the above anomalies simultaneously. We report a case of a Tessier number 7 cleft with unilateral complete cleft lip and palate. Two months after birth, lip adhesion was performed on the unilateral complete cleft lip and total excision was performed on the skin tag. At 4 months of age, Tessier number 7 cleft was corrected. At 6 months of age, surgery involving two small triangular flaps was performed on the unilateral incomplete cleft lip after performing lip adhesion. At 13 months of age, two-flap palatoplasty with a vomer flap was performed on the complete cleft palate. At 6 years of age, open rhinoplasty was performed on the unilateral cleft lip nose deformity. At 9 years of age, bone grafting was performed for the alveolar cleft. At follow-up appointments up to 13 years of age, there were no major complications. Here, we present this patient, surgical procedures and timelines, and show our results demonstrating good postoperative outcomes.
迄今为止，尚无患者表现出7号Tessier腭裂合并单侧完全性唇腭裂的报道。此外，也没有研究确定同时出现上述异常的患者的手术方法顺序、方案或时机。我们报告一例7号Tessier腭裂合并单侧完全性唇腭裂的病例。出生后两个月，对单侧完全性唇裂进行了唇粘连术，并对皮赘进行了全切。4个月大时，矫正了7号Tessier腭裂。6个月大时，在进行唇粘连术后，对单侧不完全性唇裂进行了涉及两个小三角瓣的手术。13个月大时，对完全性腭裂进行了带犁骨瓣的双瓣腭裂修复术。6岁时，对单侧唇裂鼻畸形进行了开放式鼻整形术。9岁时，对牙槽裂进行了植骨。在随访至13岁期间，未出现重大并发症。在此，我们展示该患者、手术过程和时间线，并呈现我们的结果，显示术后效果良好。
