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Changing Trends in Cleft Lip and Palate Management Taught in Training Programs in Korea

Eom, Jin Sup MD, PhD; Lee, Taik Jong MD, PhD

Journal of Craniofacial Surgery: March 2011 - Volume 22 - Issue 2 - p 430-433
doi: 10.1097/SCS.0b013e31820745e1
Original Articles

To assess changes in trends of cleft management and achieve an overview of the current status, a replication of 2000 national survey was conducted. Questionnaires containing 46 categories were distributed to 72 senior residents of all Korean institutes with plastic surgery training programs. Forty-two of the questionnaires were returned in completed form. The results were (1) new surgeries numbering less than 10 per year were reported by 50% for the cleft lip and by 45% for the cleft palate; (2) 61% were using presurgical orthopedics before the repair of the cleft, and most common method was presurgical nasal-alveolar molding (43%); (3) the rotation advancement technique (94%) was the most popular method for the unilateral cleft lip repair and the Millard method (54%) for the bilateral cleft lip repair; (5) the double-opposing Z-plasty was the most common method for the repair of the complete (56%) and the incomplete cleft palate (80%); (6) 85% of the respondents reported performed the alveolar cleft repair during the period of mixed dentition, and the gingival mucoperiosteal flap and bone graft method was the most favored methods (92%); (7) the multidisciplinary team approach was practiced by 36%. Although the current result cannot be regarded as a significant advance in cleft management, the overall cleft services in Korea were getting standardized and shown to be turning to more efficient structure.

From the Department of Plastic Surgery, Asan Medical Center, University of Ulsan, College of Medicine, Seoul, Korea.

Received May 13, 2010.

Accepted for publication June 21, 2010.

Address correspondence and reprint requests to Jin Sup Eom, MD, PhD, Department of Plastic Surgery, Asan Medical Center, University of Ulsan, College of Medicine, 388-1, Pungnap-2dong, Songpa-gu, Seoul, South Korea; E-mail:

The authors report no conflicts of interest.

© 2011 Mutaz B. Habal, MD