구내 하악골 상행지 수직골 절단술 후 하악골 우각부의 수평적 길이 변화

CHANGES OF TRANSVERSE MANDIBULAR WIDTH AFTER INTRAORAL VERTICAL RAMUS OSTEOTOMY

  • 박성연 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 정영수 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 최영달 (연세대학교 치과대학 구강악안면외과학교실) ;
  • 박형식 (연세대학교 치과대학 구강악안면외과학교실)
  • Park, Sung-Yeon (Department of Oral and Maxillofacial Surgery, Oral Science Research Center, College of Dentistry, Yonsei University) ;
  • Jung, Young-Soo (Department of Oral and Maxillofacial Surgery, Oral Science Research Center, College of Dentistry, Yonsei University) ;
  • Choi, Young-Dal (Department of Oral and Maxillofacial Surgery, Oral Science Research Center, College of Dentistry, Yonsei University) ;
  • Park, Hyung-Sik (Department of Oral and Maxillofacial Surgery, Oral Science Research Center, College of Dentistry, Yonsei University)
  • 발행 : 2006.10.30

초록

Purpose: In order to clarify the correlation of mandibular setback using bilateral intraoral vertical ramus osteotomy (BIVRO) and post-surgical transverse mandibular width (TMW), this study examined the pre- and postsurgical changes in hard and soft tissues of TMW and the relationship of TMW and the amount of mandibular setback. Patients and Methods: One-hundred seven patients who had undergone BIVRO were evaluated radiographically and clinically. A comparison study of the changes in hard and soft tissue after surgery in all 107 patients was performed with preoperative, 1 month, 3 month, 6 month and 1 year postoperative posteroanterio cephalograms and clinical photographs by tracing. And this changes were evaluated in parts to amounts of mandibular setback. Results: Statistically significant increases of TMW in hard and soft tissue from preoperative to postoperative 1 month were seen. TMW in hard tissue from 1 month to 1 year postopertive were gradually decreased. TMW in soft tissue was not changed uniformly but almost equal to pre-operative width. And there was no significant correlation between TMW and amount of mandibular setback. Conclusions: The results show that mandibular setback using BIVRO did not significantly influence increasing of TMW in soft tissue.

키워드

참고문헌

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