Maxillofacial Plastic and Reconstructive Surgery
- 제11권1호
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- Pages.93-100
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- 1989
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- 2288-8101(pISSN)
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- 2288-8586(eISSN)
하악골 과두골절의 처치
TREATMENT OF CONDYLAR FRACTURE
- 조병욱 (한림대학교 의과대학 강남성심병원 악안면구강외과학교실) ;
-
이용찬
(한림대학교 의과대학 강남성심병원 악안면구강외과학교실) ;
- 김태영 (한림대학교 의과대학 강남성심병원 악안면구강외과학교실) ;
- 남종훈 (한림대학교 의과대학 강남성심병원 악안면구강외과학교실)
- Cho, Byoung-Ouck (Dept. of Oral & Maxillofacial Surgery, College of Medicine, Hallym University) ;
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Lee, Yong-Chan
(Dept. of Oral & Maxillofacial Surgery, College of Medicine, Hallym University) ;
- Kim, Tae-Young (Dept. of Oral & Maxillofacial Surgery, College of Medicine, Hallym University) ;
- Nam, Jong-Hoon (Dept. of Oral & Maxillofacial Surgery, College of Medicine, Hallym University)
- 발행 : 1989.06.30
초록
This is a report of comparison of condyle fracture treatment by functional treatment and surgical treatment. In cases of functional therapy, mode of action of Activator that we used; By fulcrum of posterior teeth, the mandibular elevators of the opposite side cause the gap in the dental arches to be reduced, while the mandible performs a rotational movement about the fulcrum during which the fracture surface of the large fragment moves downward. Condylar fractures are often seen in association with fractures of other regions of the mandible. In our department, such cases were treated by miniplate and intramaxillary fixation. Surgical treatment of fractures of the mandible condylar were treated by intraoral approach. The result were drawn as follows : 1. Lateral displacement of condyle ; functional therapy with activator. 2. Compound fracture ; miniplate osteosynthesis and physiotherapy. 3. Anteriormedially displacement ; surgical treatment.
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