Maxillofacial Plastic and Reconstructive Surgery

  • 제12권2호
  • /
  • Pages.48-54
  • /
  • 1990
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  • 2288-8101(pISSN)
  • /
  • 2288-8586(eISSN)
대한악안면성형재건외과학회 (Korean Association of Maxillofacial Plastic and Reconstructive Surgeons)
권호 표지

하악골 시상골 골절단술시 MINIPLATE에 의한 RIGID FIXATION

RIGID FIXATION BY MINIPLATE IN THE MANDIBULAR SAGITTAL SPLITRAMUS OSTEOTOMY.

  • 조병욱 (한림대학교 외과대학 구강악안면 외과학교실) ;
  • 이용찬 (한림대학교 외과대학 구강악안면 외과학교실) ;
  • 양용석 (한림대학교 외과대학 구강악안면 외과학교실) ;
  • 유하식 (한림대학교 외과대학 구강악안면 외과학교실)
  • Cho, Byoung-Ouck (Dept. of Oral and Maxillofacial Surgery, College of Medicine Hallym University.) ;
  • Lee, Youg-Chan (Dept. of Oral and Maxillofacial Surgery, College of Medicine Hallym University.) ;
  • Yang, Yong-Seog (Dept. of Oral and Maxillofacial Surgery, College of Medicine Hallym University.) ;
  • You, Ha-Sik (Dept. of Oral and Maxillofacial Surgery, College of Medicine Hallym University.)
  • 발행 : 1990.08.31
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초록

This is a report of 4 cases of the surgical correction of mandibular prognathism with chief complaint of mastication difficulty, facial asymmetry and protrusive chin. We performed sagittal spit ramus osteotomy for the prognathism, we used the repositioning plate for conserving the condylar segment into its original position and fixed the osteotomized bone segments rigidly with adjustable monocortical plate. Intermaxillary fixation was performed during 2 weeks. As a results, we found the following advantage. 1. Rigid fixation effect like the fixation by the tandem screw. 2. Decreased postoprative swelling. 3. It is needless to do the stab incision for the transbuccal set instrument. 4. It is more convenient to perform the rigid fixation in the monocortical plate method than screw technique.

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