Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

FACIAL NERVE PALSY AFTER SAGITTAL SPLIT RAMUS OSTEOTOMY IN SEVERE MANDIBULAR PROGNATHISM: A CASE REPORT

심한 하악 전돌증 환자에서 하악골 시상면 골절단술(SSRO)과 관련된 안면신경 마비: 증례보고

  • Hong, Sung-Chul (Department of Oral and Maxillofacial Surgery, Sanggye Paik Hospital, College of Medicine, Inje University) ;
  • Lee, Hee-Chul (Department of Oral and Maxillofacial Surgery, Seoul Red Cross Hospital) ;
  • Yoon, Kyu-Ho (Department of Oral and Maxillofacial Surgery, Sanggye Paik Hospital, College of Medicine, Inje University) ;
  • Park, Kwan-Soo (Department of Oral and Maxillofacial Surgery, Sanggye Paik Hospital, College of Medicine, Inje University) ;
  • Cheong, Jeong-Kwon (Department of Oral and Maxillofacial Surgery, Sanggye Paik Hospital, College of Medicine, Inje University) ;
  • Shin, Jae-Myung (Department of Oral and Maxillofacial Surgery, Sanggye Paik Hospital, College of Medicine, Inje University)
  • 홍성철 (인제대학교 의과대학 상계백병원 구강악안면외과학교실) ;
  • 이희철 (서울적십자병원 구강악안면외과학교실) ;
  • 윤규호 (인제대학교 의과대학 상계백병원 구강악안면외과학교실) ;
  • 박관수 (인제대학교 의과대학 상계백병원 구강악안면외과학교실) ;
  • 정정권 (인제대학교 의과대학 상계백병원 구강악안면외과학교실) ;
  • 신재명 (인제대학교 의과대학 상계백병원 구강악안면외과학교실)
  • Published : 2006.01.31
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Abstract

The management of mandibular prognathism and retrognathism was revoluted by the advent of the technique of bilateral sagittal split ramus osteotomy(BSSRO) as described by Obwegeser and Trauner in 1957. The BSSRO of the mandible has been used for nearly 50 years and has undergone numerous modifications and improvements. Most patients, treated by this surgical operation, express their satisfaction with improved facial esthetics, masticatory function and others. But several complications associated with BSSRO may appear. Especially among them, facial nerve palsy following BSSRO is rare but serious problem. We treated for facial nerve palsy following BSSRO by physical therapy, steroid therapy and surgical intervention and then the result was favorable. Therefore we would like to report a case about a patient with facial nerve palsy after BSSRO with a review of the literatures.

Keywords

References

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