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- 주제어 : Nasal incision (검색결과 4 건)
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V-Y 성형술을 동반한 Reverse-U 절개술을 이용한 편측 이차 구순열 비변형의 교정술 - 증례보고
김희성,이호성,이용빈,정휘동,정영수 대한구순구개열학회 2016 대한구순구개열학회지 Vol.19 No.1
The correction of a cleft lip nasal deformity is challenging because of its complexity and even more difficult when secondary correction of the unilateral cleft lip nose deformity. For an aesthetic appearance of the nose, a well-balanced relationship between nasal protrusion, nostril shape and columellar length are very important and many operative methods have been described such as direct excision of the skin of the alar web, the Z-plasty technique, V-Y plasty technique and the reverse-U incision. In this case report we used the reverse-U incision to extend the nostril size and length and also to reposition the lower lateral alar cartilage of cleft side. And a V-Y plasty was used to correct columellar shortage and close nasal mucosal defect induced by lower lateral alar cartilage traction. In this way, we have achieved a well-balanced relationship between both nostrils. The reverse-U incision with V-Y plasty creates a better nostril contour than does an another method. In this case report, we present secondary unilateral cleft lip nasal deformity who was treated using reverse-U with V-Y plasty method.
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송민경,박진형,김재용,김명준,차흥원 대한안과학회 2017 대한안과학회지 Vol.58 No.2
Purpose: To compare the safety and efficacy of cataract surgery using nasal clear corneal incision (CCI) versus superior or temporal CCIs in Korean patients. Methods: A retrospective comparative study was conducted. Patients underwent cataract surgery using CCIperformed by 3 surgeons between January 2012 and December 2013.The patients were divided into the following 3 groups based on CCI direction: nasal CCIs (group I), superior CCIs (Group II), and temporal CCIs (Group III). To assess usability, surgically induced astigmatism(SIA), best-corrected visual acuity (BCVA), intraocular pressure (IOP), keratometry reading, and refractive errors at baseline and 1 month after surgery were compared. Operation times were compared between groups. To assess safety, intraoperative complications and wound stability were compared. Results: A total of 1,374 eyes (Group I, 283 eyes; Group II, 587 eyes; Group III, 504 eyes) were included in the present study. The SIA was not significantly different among the 3 groups. The postoperative mean BCVA, IOP, keratometry reading and spherical equivalent as well as the mean operation times were not significantly different between the 3 groups (14.04 ± 3.79 vs. 13.80 ± 3.27 vs. 13.80 ± 3.70; p = 0.473). The rate of intraocular complications and incidence of corneal wound suture were not significantly different between the 3 groups (1.7% vs. 3.2% vs. 2.3%; p = 0.378). Conclusions: The safety and efficacy of cataract surgery using nasal CCI were not significantly different compared with the use of temporal or superior CCI. Our results showed that cataract surgery using nasal CCI can be performed safely and conveniently in Korean patients.
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Horizontal Dorsal Septal Incision for High Deviation Correction During Septoplasty
이은정,구철효,박동준,박상만,이하늘,이현수 대한이비인후과학회 2022 대한이비인후과학회지 두경부외과학 Vol.65 No.7
When performing septoplasty in patients with a high deviation of the nasal septum, effectivecorrection is difficult and postoperative complications such as a saddle nose may result if thebone or cartilage is removed inordinately. Although several surgical techniques have been introduced,some are difficult to apply easily. Furthermore, the deviation may persist despite theapplication of surgical techniques due to the rebound memory of the remaining cartilage. Thisstudy aimed to describe a simple and safe surgical technique for crooked nasal septa with ahigh deviation. This method using horizontal dorsal septal incision allows easy separation ofthe highly deviated portion from the upper lateral cartilage. Furthermore, it is less traumaticthan other methods, and predictably preserves the keystone area.
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신현우,차원재,김인경,진홍률 대한이비인후과학회 2007 대한이비인후과학회지 두경부외과학 Vol.50 No.11
to the palatine papilla. Its etiology is generally attributed to the enclavement of remnants of epithelium surrounding the two lateral maxillary proceses that fuse to form the hard palate. The median palatine cyst sometimes poses challenges in the diagnosis due to the diversity and complicated clasifications of the cysts originating from the maxilla and palate. We present a case of large median palatine cyst of a 50-year-old man who had purulent rhinorrhea and foul odor for 1 year. An endonasal endoscopic mar-supialization was performed and pus was drained from the cyst. There was no recurence of symptoms and the ostium was wel maintained at 4 months after the operation. We report this case with a brief literature review. (Korean J Otorhinolaryngol-Head Neck Surg 2007 ;50 :1058-61)
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