Journal Name:
- Cerrahpaşa Tıp Dergisi
Key Words:
Keywords (Original Language):
Abstract (2. Language):
Shallow upper buccal
sulcus deformity, one of the secondary deformities
after cleft lip-palate repair, causes both
aesthetic and functional problems. This deformity
also avoids or hardens orthodontic and
prostodontic procedures. Upper buccal sulcus
deepening procedure was performed in 14 patients
for the last 5 years. In 12 cases premaxilla
based mucosal flaps were combined either with
lip repair, Abbé flap or bilateral buccal mucosal
advancement flaps, and in 2 cases buccal mucosal
graft that was applied to the premaxilla was
combined with bilateral buccal mucosal advancement
flaps.
Results.- The follow-up period was 2 to 5 years.
Results were satisfactory both for the surgeon,
orthodontist, prostodontist and the patient.
Conclusion.- Upper buccal sulcus reconstruction
with premaxillary thin mucosal flap or fullthickness
mucosal graft combined with tissue
sparing techniques provide successful and durable
results.
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Abstract (Original Language):
Dudak damak yarığı onarımından kalan
deformitelerden üst bukkal sulkus sığl
ığı hem estetik hem de fonksiyonel sorunlar
yaratır. Ayrıca ortodontik ve prostodontik
uygulamaları zorlaştırır veya engel
olur. Son beş yılda 14 hastada üst bukkal
sulkus derinleştirildi. 12 hastada premaksilladan
hazırlanan mukoza flebi yeniden
dudak onarımı, Abbé flebi veya iki yandan
ilerletilen bukkal mukoza flebi ile kombine
edilerek, 2 hastada ise premaksillaya
konan mukoza grefti iki yanlı bukkal mukoza
ilerletme flebi ile kombine edilerek
sulkus derinleştirildi. Hastalar en az 2 ve
en çok 5 yıl takip edildi. Sonuçlar cerrah,
ortodontist, postodontist ve hasta için tatmin
edici idi. Üst bukkal sulkus onarımında
premaksiller ince mukoza flebi veya
premaksillaya konan tam kalınlıkta mukoza
grefti ile kombine edilen doku kazand
ırıcı tekniklerle başarılı ve kalıcı sonuç-
lar alınabilmektedir.
FULL TEXT (PDF):
- 3
144-148