대한두개안면성형외과학회지 (Archives of Craniofacial Surgery)

  • 제20권6호
  • /
  • Pages.370-375
  • /
  • 2019
  • /
  • 2287-1152(pISSN)
  • /
  • 2287-5603(eISSN)
대한두개안면성형외과학회 (Korean Cleft Palate-Craniofacial Association)
권호 표지
DOI QR코드

DOI QR Code

A retrospective computed tomography analysis of maxillary fractures and the clinical outcomes of their unreduced parts

  • Chung, Chan Min (Department of Plastic and Reconstructive Surgery, Hallym University Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Tak, Seung Wan (Department of Plastic and Reconstructive Surgery, Hallym University Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Lim, Hyoseob (Department of Plastic and Reconstructive Surgery, Hallym University Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Cho, Sang Hun (Department of Plastic and Reconstructive Surgery, Hallym University Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Lee, Jong Wook (Department of Plastic and Reconstructive Surgery, Hallym University Hangang Sacred Heart Hospital, Hallym University College of Medicine)
  • 투고 : 2019.09.25
  • 심사 : 2019.12.13
  • 발행 : 2019.12.20
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Background: Some parts of a maxillary fracture-for example, the medial and posterior walls-may remain unreduced because they are unapproachable or hard to deal with. This study aimed to investigate the self-healing process of unreduced maxillary membranous parts of fractures through a longitudinal computed tomography (CT) analysis of cases of unilateral facial bone injuries involving the maxillary sinus walls. Methods: Thirty-two patients who had undergone unilateral facial bone reduction surgery involving the maxillary sinus walls without reduction of the medial and posterior walls were analyzed in this retrospective chart review. Preoperative, immediate postoperative, and 3-month postoperative CT scans were analyzed. The maxillary sinus volume was calculated and improvements in bone continuity and alignment were evaluated. Results: The volume of the traumatized maxillary sinuses increased after surgery, and expanded significantly by 3 months postoperatively (p< 0.05). The significant preoperative volume difference between the normal and traumatized sides (p= 0.024) resolved after surgery (p> 0.05), and this resolution was maintained at 3 months postoperatively (p > 0.05). The unreduced parts of the maxillary bone showed improved alignment and continuity (in 75.0% and 90.6% of cases, respectively), and improvements in bone alignment and bone continuity were found to be correlated using the Pearson chi-square test (p= 0.002). Conclusion: Maxillary wall remodeling through self-healing occurred concomitantly with an increase in sinus volume and simultaneous improvements in bone alignment and continuity. Midfacial surgeons should be aware of the natural course of unreduced fractured medial and posterior maxillary walls in complex maxillary fractures.

키워드

참고문헌

  1. Gallup AC, Hack GD. Human paranasal sinuses and selective brain cooling: a ventilation system activated by yawning? Med Hypotheses 2011;77:970-3. https://doi.org/10.1016/j.mehy.2011.08.022
  2. Janic T, Niedzielska I. Mucociliary clearance impairment after zygomaticomaxillary-orbital fractures. Oral Surg Oral Med Oral Pathol Oral Radiol 2013;115:e6-12. https://doi.org/10.1016/S2212-4403(12)01690-2
  3. Ungor C, Saridogan C, Yilmaz M, Tosun E, Senel FC, Icten O. An acoustical analysis of the effects of maxillary sinus augmentation on voice quality. Oral Surg Oral Med Oral Pathol Oral Radiol 2013;115:175-84. https://doi.org/10.1016/j.oooo.2012.01.035
  4. Top H, Aygit C, Sarikaya A, Karaman D, Firat MF. Evaluation of maxillary sinus after treatment of midfacial fractures. J Oral Maxillofac Surg 2004;62:1229-36. https://doi.org/10.1016/j.joms.2003.12.034
  5. Yoshioka N, Tomita S, Nishikawa H, Arakawa A, Sesaki S. Medial maxillary fractures revisited. J Plast Reconstr Aesthet Surg 2014;67:506-12. https://doi.org/10.1016/j.bjps.2013.12.028
  6. Beretta M, Cicciu M, Bramanti E, Maiorana C. Schneider membrane elevation in presence of sinus septa: anatomic features and surgical management. Int J Dent 2012;2012:261905. https://doi.org/10.1155/2012/261905
  7. Rancitelli D, Borgonovo AE, Cicciu M, Re D, Rizza F, Frigo AC, et al. Maxillary sinus septa and anatomic correlation with the Schneiderian membrane. J Craniofac Surg 2015;26:1394-8. https://doi.org/10.1097/SCS.0000000000001725
  8. Elian N, Wallace S, Cho SC, Jalbout ZN, Froum S. Distribution of the maxillary artery as it relates to sinus floor augmentation. Int J Oral Maxillofac Implants 2005;20:784-7.
  9. Solar P, Geyerhofer U, Traxler H, Windisch A, Ulm C, Watzek G. Blood supply to the maxillary sinus relevant to sinus floor elevation procedures. Clin Oral Implants Res 1999;10:34-44. https://doi.org/10.1034/j.1600-0501.1999.100105.x
  10. Traxler H, Windisch A, Geyerhofer U, Surd R, Solar P, Firbas W. Arterial blood supply of the maxillary sinus. Clin Anat 1999;12:417-21. https://doi.org/10.1002/(SICI)1098-2353(1999)12:6<417::AID-CA3>3.0.CO;2-W
  11. Marx RE. Bone and bone graft healing. Oral Maxillofac Surg Clin North Am 2007;19:455-66. https://doi.org/10.1016/j.coms.2007.07.008
  12. Romano PR, Caton JG, Puzas JE. The reversal line may be a key modulator of osteoblast function: observations from an alveolar bone wound-healing model. J Periodontal Res 1997;32(1 Pt 2):143-7. https://doi.org/10.1111/j.1600-0765.1997.tb01396.x
  13. Guo X, Guo H, Liu J. Membrane guided tissue regeneration in the treatment of bone defect. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 1998;12:301-3.
  14. Mardas N, Dereka X, Donos N, Dard M. Experimental model for bone regeneration in oral and cranio-maxillo-facial surgery. J Invest Surg 2014;27:32-49. https://doi.org/10.3109/08941939.2013.817628
  15. Esteve-Altava B, Rasskin-Gutman D. Beyond the functional matrix hypothesis: a network null model of human skull growth for the formation of bone articulations. J Anat 2014;225:306-16. https://doi.org/10.1111/joa.12212
  16. Lin Z, Fateh A, Salem DM, Intini G. Periosteum: biology and applications in craniofacial bone regeneration. J Dent Res 2014;93:109-16. https://doi.org/10.1177/0022034513506445
  17. Jung S, Lee JW, Kim CH, Hwang E, Lim H, Jung SW, et al. Postoperative changes in isolated medial orbital wall fractures based on computed tomography. J Craniofac Surg 2017;28:2038-41. https://doi.org/10.1097/SCS.0000000000003956
  18. Mouraret S, Von Kaeppler E, Bardet C, Hunter DJ, Chaussain C, Bouchard P, et al. The potential for vertical bone regeneration via maxillary periosteal elevation. J Clin Periodontol 2014;41:1170-7. https://doi.org/10.1111/jcpe.12310
  19. Zhu JH, Lim KM, Thong KT, Wang de Y, Lee HP. Assessment of airflow ventilation in human nasal cavity and maxillary sinus before and after targeted sinonasal surgery: a numerical case study. Respir Physiol Neurobiol 2014;194:29-36. https://doi.org/10.1016/j.resp.2014.01.004
  20. Jiang FF, Hou Y, Lu L, Ding XX, Li W, Yan AH. Functional evaluation of a CAD/CAM prosthesis for immediate defect repair after total maxillectomy: a case series of 18 patients with maxillary sinus cancer. J Esthet Restor Dent 2015;27 Suppl 1:S80-9. https://doi.org/10.1111/jerd.12117
  21. Jinfeng L, Jinsheng D, Xiaohui W, Yanjun W, Ningyu W. The pneumatization and adjacent structure of the posterior superior maxillary sinus and its effect on nasal cavity morphology. Med Sci Monit 2017;23:4166-74. https://doi.org/10.12659/MSM.903173
  22. Tent PA, Juncar RI, Lung T, Juncar M. Midfacial fractures: a retrospective etiological study over a 10-year period in Western Romanian population. Niger J Clin Pract 2018;21:1570-5.
  23. Maridati P, Stoffella E, Speroni S, Cicciu M, Maiorana C. Alveolar antral artery isolation during sinus lift procedure with the double window technique. Open Dent J 2014;8:95-103. https://doi.org/10.2174/1874210601408010095
  24. Stacchi C, Lombardi T, Cusimano P, Berton F, Lauritano F, Cervino G, et al. Bone scrapers versus piezoelectric surgery in the lateral antrostomy for sinus floor elevation. J Craniofac Surg 2017;28:1191-6. https://doi.org/10.1097/SCS.0000000000003636

피인용 문헌

  1. Trauma severity and mandibular fracture patterns in a regional trauma center vol.21, pp.5, 2019, https://doi.org/10.7181/acfs.2020.00556