하악전돌증 환자의 하악지분할시상골절단술 후 혀의 위치, 기도의 폭경, 하악각 및 구강용적의 변화

CHANGES IN TONGUE POSITION, AIRWAY WIDTH, GONIAL ANGLE, LOWER FACIAL HEIGHT AFTER BILATERAL SAGITTAL SPLIT RAMUS OSTEOTOMY IN MANDIBULAR PROGNATHIC PATIENTS

  • 이규홍 (한림대학교 의료원 강동성심병원 치과교정과) ;
  • 황용인 (한림대학교 의료원 강동성심병원 치과교정과) ;
  • 김윤지 (한림대학교 의료원 강동성심병원 치과교정과) ;
  • 천세환 (한림대학교 의료원 강동성심병원 치과교정과) ;
  • 김형욱 (한림대학교 의료원 강동성심병원 구강외과) ;
  • 박준우 (한림대학교 의료원 강동성심병원 구강외과) ;
  • 이건주 (샘 치과의원) ;
  • 박양호 (한림대학교 의료원 강동성심병원 치과교정과)
  • Lee, Kyu-Hong (Department of Orthodontics, Kangdong Sacred Heart Hospital, Hallym University Medical Center) ;
  • Hwang, Yong-In (Department of Orthodontics, Kangdong Sacred Heart Hospital, Hallym University Medical Center) ;
  • Kim, Yoon-Ji (Department of Orthodontics, Kangdong Sacred Heart Hospital, Hallym University Medical Center) ;
  • Cheon, Se-Hwan (Department of Orthodontics, Kangdong Sacred Heart Hospital, Hallym University Medical Center) ;
  • Kim, Hyung-Wook (Department of Oral & Maxillofacial Surgery, Kangdong Sacred Heart Hospital, Hallym University Medical Center) ;
  • Park, Jun-Woo (Department of Oral & Maxillofacial Surgery, Kangdong Sacred Heart Hospital, Hallym University Medical Center) ;
  • Rhee, Gun-Joo (Saem Dental Clinic) ;
  • Park, Yang-Ho (Department of Orthodontics, Kangdong Sacred Heart Hospital, Hallym University Medical Center)
  • 발행 : 2007.04.30

초록

Introduction. In patients with mandibular prognathism, Bilateral Sagittal Split Ramus Osteotomy(BSSRO) combined with orthodontic treatment reduces oral volume and influences tongue and other surrounding tissues. Purpose of this study was to analyze post-operative tongue position and airway dimension, as well as mandibular changes in vertical, horizontal, and angular dimensions. Materials and methods. Height of dorsum of tongue, width of airway, gonial angle and lower facial height of mandibular prognathic patients who visited Kangdong Sacred Heart Hospital from Jan. 2001 to Dec. 2006 were anaylzed via pre-operative and post-operative cephalograms. T-test was used to compare pre-operative and post-operative measurements. Also, correlations among pre-operative measurements of the patients were analyzed. Results and conclusion. A significant correlation was shown between ANS-Xi-PM area and location of dorsum of tongue in pre-operative patients. A significant superior movement of tongue and decrease of airway width was observed in post-operative patients. Also the upper gonial angle decreased significantly.

키워드

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