Journal of the Korean Association of Oral and Maxillofacial Surgeons

  • 제28권1호
  • /
  • Pages.64-68
  • /
  • 2002
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  • 2234-7550(pISSN)
  • /
  • 2234-5930(eISSN)
대한구강악안면외과학회 (The Korean Association of Oral and Maxillofacial Surgeons)
권호 표지

효과적인 비익기저부의 회복을 위한 치조열 환자의 골이식 치험례

A SURGICAL METHOD FOR THE EFFECTIVE TREATMENT OF CLEFT ALVEOLUS, ESPECIALLY FOR THE ELEVATION OF ALA BASE

  • 신홍수 (성균관대학교 의과대학 삼성의료원 치과진료부 구강악안면외과) ;
  • 유양근 (성균관대학교 의과대학 삼성의료원 치과진료부 구강악안면외과) ;
  • 최영준 (성균관대학교 의과대학 삼성의료원 치과진료부 구강악안면외과) ;
  • 황순정 (성균관대학교 의과대학 삼성의료원 치과진료부 구강악안면외과)
  • Shin, Hong-Soo (Dept. of Oral and Maxillofacial Surgery, The Institute of Oral Health Science, Samsung Medical Center, Sungkyunkwan university, School of Medicine) ;
  • Yoo, Yang-Keun (Dept. of Oral and Maxillofacial Surgery, The Institute of Oral Health Science, Samsung Medical Center, Sungkyunkwan university, School of Medicine) ;
  • Choi, Young-Joon (Dept. of Oral and Maxillofacial Surgery, The Institute of Oral Health Science, Samsung Medical Center, Sungkyunkwan university, School of Medicine) ;
  • Hwang, Soon-Jung (Dept. of Oral and Maxillofacial Surgery, The Institute of Oral Health Science, Samsung Medical Center, Sungkyunkwan university, School of Medicine)
  • 발행 : 2002.02.28
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초록

저자등은 치조열이 있는 성인 환자의 골결손에서 회복이 어려운 비익기저부의 지지와 구개비강누공(oronasal fistula)의 폐쇄등을 위하여, 형성된 defect 부위의 비강쪽 점막을 이용하여 nasal layer 형성하고 장골의 피질골과 해면골을 채취하여 파열된 piriform aperture 좌,우측 골에 fissure bur를 이용하여 양쪽에 수평홈을 형성하고, 채취한 피질골을 양측 홈사이에 설합과 같이 밀어 넣어 piriform aperture를 재건하여 연결시키고, 그 아래로 해면골을 이식된 피질골에 누르며 다져 충전하는 방법을 사용하여 비익기저부의 회복에 양호한 결과를 얻었기에 문헌고찰과 함께 증례들을 보고하는 바이다.

The cleft alveolus is one of three parts in cleft deformity. The purpose of cleft alveolus bone grafting is the recovery of normal esthetics, occlusion and speech. If a bony defect is extended to the nasal floor, especially wide bony defect at the ala base, it is difficult to condense the cancellous bone during bone transplantation and to reconstruct the normal anatomy at the alar base. We treated with above mentioned cleft alveolus patients using the autogenous cortical bone effectively. We report this technique with two cases and the literatures review.

키워드

참고문헌

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