CONSIDERATION OF TRANSVERSE MOVEMENT OF POSTERIOR MAXILLA IN ORTHOGNATHIC SURGERY OF FACIAL ASYMMETRY : CASE REPORTS

안모 비대칭 환자의 악교정수술에서 상악 후방부의 수평이동에 대한 고려

  • Chang, Hyun-Ho (Dept. of Oral & Maxillofacial Surgery, Asan Medical Center, Medical College of Ulsan University) ;
  • Yoon, Seok-Chae (Dept. of Oral & Maxillofacial Surgery, Asan Medical Center, Medical College of Ulsan University) ;
  • Rhyu, Sung-Ho (Dept. of Oral & Maxillofacial Surgery, Asan Medical Center, Medical College of Ulsan University) ;
  • Kim, Jae-Seung (Dept. of Oral & Maxillofacial Surgery, Asan Medical Center, Medical College of Ulsan University)
  • 장현호 (울산대학교 의과대학 서울중앙병원 치과 구강악안면외과) ;
  • 윤석채 (울산대학교 의과대학 서울중앙병원 치과 구강악안면외과) ;
  • 류성호 (울산대학교 의과대학 서울중앙병원 치과 구강악안면외과) ;
  • 김재승 (울산대학교 의과대학 서울중앙병원 치과 구강악안면외과)
  • Published : 2000.04.30

Abstract

When we establish treatment planning of facial asymmetry, we must predict each asymmetrical element that will be changed upon coronal, axial, sagittal plane. At the visual point, prediction of the change of coronal plane is most important. It is important difference between Rt. and Lt. mandibular angle belonging to posterior coronal plane, as well as anterior coronal plane, such as upper and lower incisor, or midline of chin point. Several methods for control bulk of mandibular angle are additional angle shaving after osteotomy, grinding contact area between proximal and distal segment for decrease the volume, or bone graft for increase the volume. But, at the point of bimaxillary surgery, transverse position of posterior maxilla is an important factor for control it. So, we would report transverse movement of posterior maxilla for decrease asymmetry on the posterior coronal plane of face, that is, asymmetry of mandibular angular portion.

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