Journal of the Korean Association of Oral and Maxillofacial Surgeons

  • 제34권6호
  • /
  • Pages.628-634
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  • 2008
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  • 2234-7550(pISSN)
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  • 2234-5930(eISSN)
대한구강악안면외과학회 (The Korean Association of Oral and Maxillofacial Surgeons)
권호 표지

악교정 수술에서 STO와 술 후 악골위치 비교를 통한 이동량 재현성에 대한 평가

THE EVALUATION OF REPRODUCIBILITY OF OPERATION PLAN WITH THE COMPARISON BETWEEN STO AND POST-OPERATIVE JAW POSITION IN ORTHOGNATHIC SURGERY

  • 권석우 (경희대학교 일반대학원 치의학과 구강악안면외과학교실) ;
  • 지유진 (경희대학교 동서신의학병원 치대병원 구강악안면외과) ;
  • 이백수 (경희대학교 치의학전문대학원 구강악안면외과학교실) ;
  • 이덕원 (경희대학교 일반대학원 치의학과 구강악안면외과학교실)
  • Kwon, Seok-Woo (Department of Oral & Maxillofacial Surgery, graduate shool of Dentistry, Kyunghee University) ;
  • Jee, Yu-Jin (Department of Oral & Maxillofacial Surgery, Dental Hospital, East-West Neo Medical Center, Kyunghee University) ;
  • Lee, Baek-Soo (Department of Oral & Maxillofacial Surgery, Dental Hospital, Kyunghee University) ;
  • Lee, Deok-Won (Department of Oral & Maxillofacial Surgery, graduate shool of Dentistry, Kyunghee University)
  • 발행 : 2008.12.31
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초록

The purpose of this study is to examine reproducibility of operation plan and 3-dimentional jaw movement patterns by comparing jaw position of STO with post-operative jaw position. Twenty patients with class III dental and skeletal malocclusion who were treated with Le-Fort I osteotomy and B-SSRO were reviewed. Lateral cephalometric radiographs were taken within two weeks before operation and two days after operation. Cephalometric radiographs were compared and analyzed with orthognathic computer program '$V-Ceph^{TM}$'. Post-operative maxillary advancement was insufficient compared to maxillary advancement through STO. Post-operative setback movement was over compared to mandibular setback movement through STO. But statistically this is not significant. Maxillary vertical location is insignificant on the whole. Especially post-operative maxillary clockwise rotation is significant compared to maxillary rotation through STO. Post-operative maxillary clockwise rotation tendency is generally observed in all patients. So surgeons and staffs must consider this tendency when operation plan is established ans operation is being performed. Using intra or extra oral marking points, face bow, and bite plate will make exact surgery possible.

키워드

참고문헌

  1. Wackens G: The psychological implications of orthognathic surgery. Rev Belge Med Dent 2002;57:32-36
  2. Lee Ck, Kim KW, Lee JH: The accuracy of computerized prediction of the soft tissue profile after surgical correction of mandibular prognathism. J Kor Oral Maxillofac Surg 2000;26:383-390
  3. Kim SY, Lee EW: Study on the preoperative prediction values and the postoperative actual values of the osteotomized segments in orthognathic surgery. J Kor Oral Maxillofac Surg 1996;22:241-250
  4. Omura T, Glickman RS, Super S: Method to verify the accuracy of model surgery and prediction tracing. Int J Adult Orthodon Orthognath Surg 1996;11:265-270
  5. Kang JY, Choi HW, Kim KW: Analysis of short face tendency and it's determinant factors after bilateral sagittal split ramus osteotomy of mandibular prognathism. J Kor Oral Maxillofac Surg 2003;29:407-420
  6. Kim IH, Han CH, Ryu SY: Changes in gonial angle and mandibular width after orthognathic surgery in mandibular prognathic patients. J Kor Oral Maxillofac Surg 2006;32:129-137
  7. Lee SH, Lee SH, Ju HH, Won DH: The acuuracy of measurements during model surgery for orthognathic planning. J Kor Oral Maxillofac Surg 2001;27:37-45
  8. Jacobson R, Sarver DM: The predictability of maxillary repositioning in Le-Fort I orthognathic surgery. Am J of Orthod Dentofacial Orthop 2002;122:142-154 https://doi.org/10.1067/mod.2002.125576
  9. Upton PM, Sadowsky PL, Sarver DM, Heaven TJ: Evaluation of video imaging prediction in combined maxillary and mandibular orthognathic surgery. Am J Orthod Dentofacial Orthop 1997;112:656-665 https://doi.org/10.1016/S0889-5406(97)70231-2
  10. McNeill RW, Proffit WR, White RW: Cephalometric prediction for orthognathic surgery. Angle Orthod 1972;42:154-164
  11. Donatsky O, Hillerup S, Bjorn-Jorgensen J: Computerized cephalometric orthognathic surgical simulation and postoperative evaluation of precision. Int J Oral Maxillofac Surg 1992;21:199-203 https://doi.org/10.1016/S0901-5027(05)80218-8
  12. Sarver DM, Jhonston MW, Matukas VJ: Video imaging for planning and counseling in orthognathic surgery. Int J Oral Maxillofac Surg 1988;46:939-945 https://doi.org/10.1016/0278-2391(88)90330-8
  13. Mostafa YA, El-Mangoury NH, Salah A, Rasmy EM: Automated cephalographic soft-tissue analysis. J Clin Orthod 1990;24:539-543
  14. Sinclair PM, Kilpelainen P, Phillips C: The accuracy of video imaging in orthognathic surgery. Am J Orthod Dentofacial Orthop 1995;107:177-185 https://doi.org/10.1016/S0889-5406(95)70134-6
  15. Sperry TP, Steinberg MJ, Gans BJ: Mandibular movement during autorotation as a result of maxillary impaction surgery. AM J Orthod 1982;81:116-123 https://doi.org/10.1016/0002-9416(82)90035-5
  16. Reyeneke JP, Evans WG: Surgical manipulation of the occlusal plane. Int J Adult Orthod Orthogn Surg 1990;5:99-110
  17. Epker BN, Wesberg GA: Mechanisms of early skeletal relapse following surgical advancement of the mandible. Br J Oral Surg 1982;20:175-182 https://doi.org/10.1016/S0007-117X(82)80035-8
  18. Issacson RT, Kopytov OS, Bevis RP, Waite DE: Movement of the proximal and distal segment after mandibular ramus osteotomies. J Oral Surg. 1978;36:263-268
  19. LaBanc JP, Epker BN: Changes of the hyoid bone and tongue following advancement of the mandible. Oral Surg Oral Med Oral Pathol. 1984;57:351-356 https://doi.org/10.1016/0030-4220(84)90148-8
  20. Wolford LM, Chemello PD, Hilliard FW: Occlusal plane alteration in orthognathic surgery. J Oral Maxillofac Surg 1993;51:730-740 https://doi.org/10.1016/S0278-2391(10)80410-0
  21. Polido WD, Eliis E, Sinn DP: An assessment of the predictability of maxillary surgery. J Oral Maxillofac Surg 1990;48:697-701 https://doi.org/10.1016/0278-2391(90)90052-4
  22. Friede H, Kahnberg KE, Adell R, Fidell A: Accuaracy of cephalometric prediction in orthognathic surgery. J Oral Maxillofac Surg 1987;45:754-760 https://doi.org/10.1016/0278-2391(87)90195-9
  23. Bell WH, Mannai C, Luhr HG: Art and science of the Le Fort I downfracture. Int J Adult Orthodon Orthognath Surg 1988;3:23-52
  24. Kahnberg KE, Sunzel B, Astrand P: Planning and control od vertical dimension in Le Fort I osteotomies. J Craniomaxillofac Surg 1990;18:267-270 https://doi.org/10.1016/S1010-5182(05)80429-9
  25. Luyk NH, Ward-Booth RP: The stability of Le Fort I advancement osteotomies using bone plate without bone graft. J Maxillofac Surg 1985;13:250-253 https://doi.org/10.1016/S0301-0503(85)80059-X