Maxillofacial Plastic and Reconstructive Surgery

  • 제29권4호
  • /
  • Pages.340-352
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  • 2007
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  • 2288-8101(pISSN)
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  • 2288-8586(eISSN)
대한악안면성형재건외과학회 (Korean Association of Maxillofacial Plastic and Reconstructive Surgeons)
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하악 우각부 축소를 위한 골절제술의 체계적 고찰 및 증례 보고

OSTECTOMIES FOR MANDIBULAR ANGLE REDUCTION: A SYSTEMATIC REVIEW AND A REPORT OF CASES

  • 박준우 (한림대학교 강동성심병원 구강악안면외과) ;
  • 최진영 (서울대학교 치과대학 구강악안면외과학교실) ;
  • 김형욱 (한림대학교 강동성심병원 구강악안면외과) ;
  • 김종식 (한림대학교 강동성심병원 구강악안면외과) ;
  • 정인원 (목동예치과 병원 구강악안면외과) ;
  • 강진한 (한림대학교 한강성심병원 구강악안면외과) ;
  • 홍순민 (한림대학교 강동성심병원 구강악안면외과)
  • Park, Jun-Woo (Department of Oral and Maxillofcial Surgery, KandDong Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Choi, Jin-Young (Department of Oral and Maxillofacial Surgery, College of Dentistry, Seoul National University) ;
  • Kim, Hyung-Wook (Department of Oral and Maxillofcial Surgery, KandDong Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Kim, Jong-Sik (Department of Oral and Maxillofcial Surgery, KandDong Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Choung, In-Won (Oral and Maxillofacial Surgery, MokDong Ye Dental Hospital) ;
  • Kang, Jin-Han (Department of Oral and Maxillofcial Surgery, HanGang Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Hong, Soon-Min (Department of Oral and Maxillofcial Surgery, KandDong Sacred Heart Hospital, College of Medicine, Hallym University)
  • 발행 : 2007.07.31
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초록

In this systematic review on bone reduction procedures for the correction of the prominent mandibular angle, we collected and sorted the methods. The strength and weakness, indication, complication, and final esthetic result of each method were evaluated. After searching and filtering the literatures on the base of inclusion criteria, 9 eligible case series studies were included in this study. There were 3 types of curved ostectomies and 4 types of lateral cortical ostectomies. Surgical procedures for curved ostectomies were divided into 2 types. One was single curved ostectomy and the other was multistaged curved ostectomy. Lateral cortical ostectomies reported were all similar to sagittal split ramus osteotomy. The complications reported in the included studies were scarce, but curved ostectomies may be able to induce many complications. The prominent mandibular angle must be analyzed in the lateral dimension and frontal dimension, and curved ostectomy can reduce the mandibular angle laterally while lateral cortical ostectomy can reduce the bigonial distance frontally. Because curved ostectomies can induce complications and unnaturally large mandibular angle while can not reduce bigonial distance efficiently, the current trend for the angle reduction procedure is lateral cortical ostectomies.

키워드

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