SURGICAL CORRECTION OF MAXILLOFACIAL DEFORMITY WITH FIBROUS-OSSEOUS LESION OF MANDIBLE USING THE INTRAORAL VERTICAL RAMUS OSTEOTOMY

하악의 섬유-골성 병소를 가진 안면 기형에서 구내 상행지 수직 골절단술을 사용한 수술적 교정

  • Kim, Hyung-Jin (Department of Oral and Maxillofacial Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Hong, Jong-Rak (Department of Oral and Maxillofacial Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 김형진 (성균관대학교 의과대학 삼성서울병원 구강악안면외과) ;
  • 홍종락 (성균관대학교 의과대학 삼성서울병원 구강악안면외과)
  • Published : 2005.12.31

Abstract

A 22-year-old male patient had developed a submasseteric abscess secondary to a mandibular osteomyelitis at the age of 7 years old. The initial presentation at that time seems to be acute suppurative parotitis. The computed tomographic scans taken before surgery demonstrated diffuse deformity, sclerotic change and osteolytic lesion in the mandible. There was no marrow space on both sides of mandibular ramus and thin-walled cortical bone was seen. So, from the results of the computed tomography, the surgery was performed intraoral vertical ramus osteotomy (IVRO) instead of performing the more commonly used bilateral sagittal split ramus osteotomy (BSSRO). In this report, we present a case of surgical correction of mandibular prognathism with fibrous-osseous lesion of mandible with using IVRO.

Keywords

References

  1. Adekeye EO, Cornah J: Osteomyelitis of the jaws: a review of 141 cases. Br J Oral Maxillofac Surg 1985;23:24-35 https://doi.org/10.1016/0266-4356(85)90075-0
  2. Ariji E, Ariji Y, Yoshiura K, Kimura S, Horinouchi Y, Kanda S: Ultrasonographic evaluation of inflammatory changes in the masseter muscle. Oral Surg Oral Med Oral Pathol 1994;78:797-801 https://doi.org/10.1016/0030-4220(94)90098-1
  3. Barnard NA MJ: Intra-masseteric actinomycosis: Report of a case. Br J Oral Maxillorfac Surg 1992;30:190-191 https://doi.org/10.1016/0266-4356(92)90156-D
  4. Jones KC, Silver J, Millar WS, Mandel L: Chronic submasseteric abscess: anatomic, radiologic, and pathologic features. AJNR Am J Neuroradiol 2003;24:1159-1163
  5. Padilla Parrado M, Aranzana Gomez A, Jimenez Antolin JA, Garcia Manriquez A, Cespedes Mas M, Menendez Loras LM: [Actinomycosis sub-masseter abscess, simulating a parotiditis. Review of case and revision of literature]. An Otorrinolaringol Ibero Am 2003;30:347-356
  6. Leu YS, Lee JC, Chang KC: Submasseteric abscess: report of two cases. Am J Otolaryngol 2000;21:281-283 https://doi.org/10.1053/ajot.2000.8385
  7. Bell WH, Kennedy JW, 3rd: Biological basis for vertical ramus osteotomies--a study of bone healing and revascularization in adult rhesus monkeys. J Oral Surg 1976;34:215-224
  8. Astrand P, Ericson S: Relation between fragments after oblique sliding osteotomy of the mandibular rami and its influence on postoperative conditions. Int J Oral Surg 1974;3:49-59 https://doi.org/10.1016/S0300-9785(74)80079-7
  9. Astrand P, Ridell A: Positional changes of the mandible and the upper and lower anterior teeth after oblique sliding osteotomy of the mandibular rami. A roentgen-cephalometric study of 55 patients. Scand J Plast Reconstr Surg 1973;7:120-129 https://doi.org/10.3109/02844317309056421
  10. Rosenquist B, Selvik G, Rune B, Petersson A: Stability of the osteotomy site after oblique sliding osteotomy of the mandibular rami. A stereometric and plain radiographic study. J Craniomaxillofac Surg 1987;15:14-19
  11. Rosenquist B, Rune B, Petersson A, Selvik G: Condylar displacement after oblique sliding osteotomy of the mandibular rami. A stereometric and plain radiographic study. J Craniomaxillofac Surg 1988;16:301-307
  12. 박형식: 하악골 전돌증 환자의 구내 상행지 수직 골절단술을 이용한 하악골 후방 이동후 치유경과에 대한 임상적 연구. 대구외지 1997;23:561-580
  13. Greebe RB, Tuinzing DB: Overcorrection and relapse after the intraoral vertical ramus osteotomy. A one-year postoperative review of thirty-five patients. Oral Surg Oral Med Oral Pathol 1982;54:382-384 https://doi.org/10.1016/0030-4220(82)90382-6