• Title/Summary/Keyword: 골절단술

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Case report: Treatment of Facial Nerve Palsy Following Bilateral Sagittal Split Ramus Osteotomy (증례보고 : 양측 하악지 시상골 절단술 후 발생한 안면신경 마비)

  • Ryu, Ji-Won
    • Journal of Oral Medicine and Pain
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    • v.38 no.3
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    • pp.255-260
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    • 2013
  • Bilateral sagittal split ramus osteotomy(BSSRO) of the mandible is an essential and commonly used procedure to correct dentofacial deformities and malocclusion. The possible complications associated with BSSRO include inferior alveolar nerve injury, bleeding, temporomandibular disorder, unfavorable fractures, and clinical relapse. The incidence of facial nerve palsy after orthognathic surgery recently reported is 0.1%. The probable etiologies have included facial nerve compression, complete or incomplete nerve transection, nerve traction, and nerve ischemia from anesthetic injection. Postoperative facial palsy is one of the most serious complications because it reduces the quality of life and significantly reduces social interaction. The case of a 24-year-old patient who underwent bilateral sagittal split ramus osteotomy is described. The medical records and postoperative photographs were reviewed in detail to collect information on the clinical course, treatment, and outcomes.

A CASE REPORT OF SURGICAL CORRECTION OF MANDIBULAR PROGNATHISM WITH MIDFACIAL DEFICIENCY USING LE FORT III OSTEOTOMY (Le Fort III 골절단술을 이용한 중안면성장부전을 동반한 하악전돌증의 치험례)

  • Lee, Baek-Soo;Ryu, Dong-Mok;Lee, Sang-Chull;Kim, Yeo-Gab;Hwang, Hye-Wook;Cho, Se-Jong
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.26 no.1
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    • pp.1-4
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    • 2000
  • True midfacial deficiency is defined as a hypoplasia of various components of midface such as maxilla, orbit, zygoma and nasal bone. For treatment of these anomalies Le Fort III osteotomy and its modifications have been used traditionally. Le Fort III osteotomy is the method which advances maxilla with nasal bone and zygomatic bone at a time. At first midfacial osteotomy was introduced by Gillies to treatment of dentofacial deformity in 1950. In 1967 Tessier designed Le Fort III osteotomy according to Le Fort III midfacial fracture line and popularized to treat midfacial deficiency using coronal incision to appoach osteotomy sites. This is a case of patient who had mandibular prognathism with midfacial deficiency with severe discrepancy in maxillomandibular interrelation. First we performed Le Fort III osteomomy for zygomaticomaxillary advancement, and then carried out simultaneous two jaw surgery with Le Fort I osteotomy and BSSRO three months after first surgery.

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Combined Surgical and Orthodontic Treatment of Bimaxillary Dento-Alveolar Protrusion: A Report of Case (전방부분절 골절단술에 의한 상하악 전돌증의 악교정 1 예)

  • Byun, Sang-Kil;Lee, Hee-Keung;Jin, Byung-Rho;Oh, Meung-Chull;Kim, Tae-Joo;Kim, Young-Jun
    • Journal of Yeungnam Medical Science
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    • v.2 no.1
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    • pp.271-279
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    • 1985
  • The authors treated a case of bimaxillary dentoalveolar protrusion corrected by anterior segmental osteotomies: As presurgical treatment & process, closing of the upper anterior spacing with fixed appliances was worked out, cephalometric predicition & model surgery was done, and fabrication of intra-arch acrylic resin splints were made. It was not necessary to make an intermaxillary fixation with wire after surgery. Only intramaxillary fixation of anterior retracted mobile segment with resin plate was required for 8 weeks. After surgical treatment, leveling of the upper and lower arch with rectangular arch wire were accomplished as the Intrusion of anterior teeth proceeded. We will continue to improve the class II molar relationship by using class II elastics and have a good occlusiion through the orthodontic treatment.

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안모 비대칭 환자에서 편측 상악 구치부 분절 골절단술과 하악지 시상분할골절단술 및 급속 교정을 이용한 치험례

  • Yu, Jeong-Taek;Song, Seon-Heon;Kim, Su-Yong;Kim, Cheol;Park, Ji-Hun
    • The Journal of the Korean dental association
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    • v.44 no.2 s.441
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    • pp.133-138
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    • 2006
  • This is a report of one case about facial asymmetry involving maxilla & mandible. Le Fort I Maxillary Osteotomy & BSSRO is usually used for facial asymmetry patient involving maxilla & mandible. But Le Fort I Maxillary Osteotomy has demerits about more aggressive technique, more operation times, more discomforts of post operation nasal breathing than Unilateral maxillary Segmental Osteotomy. So we treated one patient successfully using Unilateral Maxillary Segmental Osteotomy, BSSRO & Post - Operation Rapid Orthodontics instead of Le Fort I Maxillary Osteotomy.

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Surgically assisted orthodontic treatment of ankylosed maxillary incisor (유착된 상악 절치의 외과적 처치를 동반한 교정 치료)

  • Son, Woo-Sung;Chung, In-Kyo;Shin, Sang-Hoon
    • The korean journal of orthodontics
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    • v.32 no.4 s.93
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    • pp.257-264
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    • 2002
  • If dental ankylosis occurs in maxillary incisors of a growing child, the ankylosed tooth can not move vertically with the subsequent disturbance in vertical growth of the alveolar process. Because ankylosed tooth does not respond orthodontic force, extraction was recommended in the past. But the loss of tooth and accompaning alveolar bone loss incur compromised esthetic situation. And it is very hard to replace by prosthetics. So intentional surgical luxation and orthodontic movement was attempted, but usually this approach is followed by recurrence of the ankylosis. Nowadays the unitooth subapical osteotomy and rapid movement of block bone was reported. Two cases we presented, one is treated by intentional luxation and the other is by unitooth subapical osteotomy following application of light continuous force soon.

Anatomic Study on the Lacrimal Duct using Computerized Tomograph

  • Choung Pill-Hoon;Lee Ui-Lyong;Hong Jong-Rak
    • Korean Journal of Cleft Lip And Palate
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    • v.5 no.2
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    • pp.109-112
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    • 2002
  • 구순 구개열 환자의 악교정 성형수술로 구강내 Le Fort II 골절단술이나 비중격 성형술이 많이 이용되는데, 이때 비골의 외측골절단술을 요하며, 이에 대한 술 후 합병증으로 비루관의 폐쇄나 비골의 분쇄골절 등이 발생할 수 있어, 악안면기형 환자를 다루는 구강악안면외과의사에게 비루관의 웅용해부학적 연구는 중요하다. 본 연구의 목적은 교합면을 기준으로 촬영된 컴퓨터 단충 촬영에서 비루관의 위치와 크기를 조사하는데 있다. 2000년 7월부터 2003년 2월까지 서울대학교병원 구강악안면방사선과에서 컴퓨터 단층촬영을 시행한 환자 62명을 대상으로 비상악봉합선에서 비루관까지의 최단거리와 비루관의 최대반경과 최소반경을 측정하였다. 우측비상악 봉합선에서 비루관까지의 거리는 5.68mm이고, 좌측은 5.67mm였다. 좌우 및 성별간의 차이는 없었다. 이의 해부학적 지견은 악기형 수술시의 비루관 폐쇄라는 합병증의 예방책으로 기여하리라 생각된다.

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A Case Repost of Femoral Amputation in Sika Deer (꽃사슴에서의 대퇴골(大腿骨) 절단술(切斷術) 1례(例))

  • Kim, Myung Cheol;Chung, Han Young;Park, Chong Oh
    • Korean Journal of Agricultural Science
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    • v.17 no.2
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    • pp.142-145
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    • 1990
  • A six months old, sika deer with metatarsal bone fracture was referred to the veterinary teaching hospital of Chungnam National University. Midshaft femoral amputation was performed. The sika deer was satisfactorily anesthetized with 1.2mg of xylazine per kg of body weight by intramuscular injection. Procedures of operation was same with those of midshaft femoral amputation in dogs. The sika deer revealed inconveniency in rising, walking and galloping just after operation but they became skilled after a month. After amputation morbid sign was not observed for about 6 months up to nowadays.

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