Delaire 변법을 이용한 편측 불완전 구순열 환자의 기능적 일차 봉합술: 증례보고

Functional Primary Closure of Unilateral Imcomplete Cleft Lip by Modified Delaire ’ s Technique: Report of a case

The outcome of primary surgery for cleft lip is judged by its effects on the quality of oro-facial function and development. Many surgical techniques have been tried to obtain better results, however, Delaire introduced a technique of ʻfunctionalʼ closure of the lip and nose, based on the findings of no true hypoplasia in the tissues either side of the cleft. In a seven-month-old Asian male patient with unilateral incomplete cleft lip, we carried out the primary closure by modified Delaireʼs technique. With no alveolar bone graft, the vertical incision on the nasal base was omitted in this patient because of his acceptable symmetry of nose. Also, a small Z plasty was added on the non-cleft side. The V-shaped incisions, whose notch was located on each side of the red vermilion, were designed and beveled incisions were performed for the rehabilitation of lip length and thickness, considering the postoperative wound contracture. We assured that this modification of Delaireʼs technique could be applied for various cases of primary closure of incomplete cleft lip.