COMPARATIVE STUDY OF POSTOPERATIVE SKELETAL SYMMETRY RELATED TO SURGICAL METHODS IN UNILATERAL CONDYLAR HYPERPLASIA (CONDYLECTOMY VS RAMUS SURGERY)

편측성 하악과두증식증에서 수술방법에 의한 술후 골격구조의 대칭성에 관한 비교연구

  • Lee, Jeong-Gu (Dept. of Dentistry, College of Medicine, Hallym University) ;
  • Hong, Kwang-Jin (Dept. of Dentistry, College of Medicine, Hallym University) ;
  • Min, Byeong-Jin (Dept. of Dentistry, College of Medicine, Hallym University) ;
  • Lee, Won-Hak (Dept. of Dentistry, College of Medicine, Hallym University) ;
  • Cho, Yoon-Joo (Dept. of Dentistry, College of Medicine, Hallym University)
  • 이정구 (한림대학교 의과대학 구강악안면외과학교실) ;
  • 홍광진 (한림대학교 의과대학 구강악안면외과학교실) ;
  • 민병진 (한림대학교 의과대학 구강악안면외과학교실) ;
  • 이원학 (한림대학교 의과대학 구강악안면외과학교실) ;
  • 조윤주 (한림대학교 의과대학 구강악안면외과학교실)
  • Published : 1996.06.30

Abstract

In patients with unilateral condylar hyperplasia, increased length of the condylar neck causes deviation of the mandible to the opposite site, resulting in facial asymmetry, but the arch form and general contour of the displaced mandible is approximately symmetric. So, the unilateral condylectomy have been prefered surgical method among the surgeons. The purpose of this study is to analyze the postoperative results comparatively following two different surgical methods, condylectomy and ramus surgery, in unilateral condylar hyperplasia. Case of 6 patients with the unilateral condylar hyerplasia were analyzed in this study, 3 case of the condylectomy only, 3 cases of the ramus surgery, Clinical and radiographic evaluations were tried for comparison. In conclusion, comparative results between two groups did not show any significant difference, but we confirmed that unilateral condylectomy could be a excellent surgical methods in unilateral condylar hyperplasia thinking over the unique morphological characteristics of it.

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