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DUDAK-DAMAK YARIK ONARIMINDAN KALAN ÜST BUKKAL SULKUS SIĞLIĞININ GİDERİLMESİ

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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.
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.
144-148

REFERENCES

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