대한영상의학회지 (Journal of the Korean Society of Radiology)

  • 제78권6호
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  • Pages.412-416
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  • 2018
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  • 1738-2637(pISSN)
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  • 2288-2928(eISSN)
대한영상의학회 (The Korean Society of Radiology)
권호 표지
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양악수술 후 환자만족도 평가를 위한 기능적 자기공명영상: 예비연구

Functional Magnetic Resonance Imaging to Evaluate Patient Satisfaction Following Bimaxillary Surgery: A Preliminary Study

  • 김재승 (건국대학교병원 치과) ;
  • 박미나 (건국대학교 의학전문대학원 건국대병원 영상의학과) ;
  • 황문정 (GE 헬스케어) ;
  • 문원진 (건국대학교 의학전문대학원 건국대병원 영상의학과)
  • Kim, Jae-Seung (Department of Dentistry, Konkuk University Medical Center) ;
  • Park, Mina (Department of Radiology, Konkuk University Medical Center, Konkuk University School of Medicine) ;
  • Hwang, Moon-Jung (GE Healthcare) ;
  • Moon, Won-Jin (Department of Radiology, Konkuk University Medical Center, Konkuk University School of Medicine)
  • 투고 : 2017.12.06
  • 심사 : 2018.01.27
  • 발행 : 2018.06.01
⟨ 이전 논문 다음 논문 ⟩

초록

양악수술은 안면교정과 함께 환자의 자기 얼굴 평가와 자존감 향상에 영향을 미치나, 이를 평가할 수 있는 객관적 평가도가 없다. 이에 저자는 양악수술을 시행한 3명의 환자(남:여 = 1:2, 20~27세)에서 기능적 자기공명영상으로 수술 전/후 자기 얼굴 평가시 뇌 활성도 차이의 분석결과를 보고한다. 기능적 자기공명영상에서 수술 전 사진과 비교하여 수술 후 자기 얼굴 사진을 보았을 때 좌측 중심후피질과 좌측 내측안와전두피질에서 활성화를 보였다. 본 예비 결과는 양악수술 환자의 수술 만족도 평가를 위한 객관적 도구개발의 가능성을 제시한다.

Although bimaxillary surgery enhances patients' self-esteem and mood by improving their facial appearance, surgical outcome assessments for this procedure are limited. This preliminary study investigated differences in brain activity on functional magnetic resonance imaging (fMRI) during self-face evaluation before and after bimaxillary surgery. Three patients (1 man and 2 women, age range: 20-27 years) underwent fMRI while viewing self-face images before and after bimaxillary surgery for maxillofacial deformity. The activation in the left postcentral gyrus, and medial orbital frontal cortex was significantly great in response to after-surgery self-face images compared to before-surgery images. Our preliminary results may facilitate the development of an objective measure for patient satisfaction after orthognathic surgery including bimaxillary surgery.

키워드

과제정보

연구 과제 주관 기관 : National Research Foundation of Korea (NRF)

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