• Title/Summary/Keyword: 구강외과

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ORAL AND MAXILLOFACIAL RECONSTRUCTION WITH BONE ALLOGRAFT (동종 골 이식을 이용한 구강악안면 재건)

  • Yim, Chang-Joon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.19 no.3
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    • pp.217-231
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    • 1997
  • Autogenous bone grafting has a broad range of applications and implications, and also limitations, though it is the oldest and most important reconstructive techniques in the oral and maxillofacial surgical field.Further understanding of bone healing mechanisms, bone physiology and bone biology, transplantation immunology, and development of tissue banking procedures had enabled oral and maxillofacial surgeons to reconstruct even the most difficult bony defects successfully with the preserved allogeneic bone implant. Now autogenous bone and allogeneic bone implants present a wide variety of surgical options to surgeons, whether used separately or in combination. The surgeons are able to make judicious and fruitful choices, only with a through knowledge of the above-mentioned biologic principles and skillful techniques. The author evaluated 116 cases where allogeneic bones were transplanted for oral and maxillofacial reconstruction.

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OSSEOUS REPAIR OF THE FRACTURED MANDIBULAR CONDYLE IN CHILDREN (소아에서 발생된 골절된 하악과두의 골회복)

  • Park Chang-Seo;Bong Kwang-Ok
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.23 no.2
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    • pp.199-206
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    • 1993
  • 본 연구는 1987년 1월부터 1991년 12월까지 연세대학교치과병원 구강악안면외과에 과두 골절이 의심되어 내원한 환자중 임상 및 방사선학적 소견에서 하악과두 골절로 진단되어 비외과적 치료를 받은 12세 미만의 13명의 소아환자를 연구 대상으로 하여 임상 및 방사선학적 소견을 분석하여 다음과 같은 결론을 얻었다. 비외과적인 보존적 또는 기능적 치료를 받은 후의 결과는 양호하였으며, 골의 재생과 개조는 신속하여 골 구조는 기능 중에 가해진 힘에 반응한다는 Wolff의 법칙과 일치하는 듯이 보였다. 두 예의 골절탈구에서 과두의 단축 및 과두가 골절된 악관절에서 clicking음을 보였으나 저작하거나 개구시에 큰 어려움은 없었다. 술후 관찰기간이 불충분하였으나 본 예의 대부분에서 비외과적인 술식에도 만족스러운 치료결과를 보였다.

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AUTOTRANSPLANTATION OF THE MISSING TOOTH : THE REPORT OF CASES (결손치에서의 자가치아이식의 치험례)

  • Park, Jeong-Hoon;Kim, Woo-Taek;Min, Byeong-Jin;Lee, Won-Hak;Lee, Jeong-Gu
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.28 no.6
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    • pp.480-483
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    • 2002
  • Treatments for restoring the function and esthetics of missing teeth include fixed bridge, partial denture, orthodontic movement, implantation and autotransplantation. However, there is no absolute indications for each techniques. Due to undevelopment of root and root resorption after autotransplantation, the success rate of autotransplantation over the past decades have been low. Recently. with the study on biological principles of the healing of periodontal ligament, the success rate of autotransplantation began to improve. We report the cases of successful autotransplantation which resulted in ideal healing of periodontal ligament, gingiva and alveolar bone.

APPLICATION OF INFRARED THERMOGRAPHY IN DENTISTRY (치과에서의 적외선 체열사진의 응용)

  • Lee, Hoon;Kim, Su-Gwan
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.31 no.4
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    • pp.335-341
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    • 2005
  • This study discusses the effects of infrared thermography in dentistry. Infrared thermography allows the quantification of infrared rays and provides useful data for dental care and research. It has been used for the diagnosis of temporomandibular dysfunction (TMD) and proposed as an objective measure of myofascial pain. It is closely related to temperature and produces beneficial objective data. A study of the heat emissions from facial structures has the potential to benefit dental diagnosis of TMD, postoperative inferior alveolar damage, and endodontic and conservative treatments. In this paper, we assessed infrared thermography in dentistry and consider future developments of infrared thermography.

MULTIPLE LANGERHANS CELL HISTIOCYTOSIS AT THE LUNG AND MANDIBLE: CASE REPORT (폐와 하악골에 다발성으로 발생한 Histiocytosis X)

  • Hwang, Jin-Hyuk;Lee, Bu-Kyu
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.31 no.3
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    • pp.279-282
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    • 2005
  • Hitiocytosis X, recently termed Langergans cell histiocytosis, is a rare disease histologically characterized by an abnormal proliferation of histiocytes, and of which the pathophysiology is still ambiguous. The clinical presentation is highly varied. Typically, there is a solitary or multiple bony involvements, and less frequently, lesions are found in other organs such as the lungs, liver, lymph nodes, skin, and mucosae. Interestingly, so far, there has been no report which shows multiple developments in both soft and hard tissues. In this report, we present a case of hitiocytosis X in both mandible and lung. This may provide some information for understanding the pathophysilogy of the histiocytosis X.

Neurilemmoma in the floor of the mouth: a case report

  • Shim, Seung-Kee;Myoung, Hoon
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.42 no.1
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    • pp.60-64
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    • 2016
  • Neurilemmomas are well-encapsulated, benign, slow-growing tumors originating from Schwann cells of the nerve sheath surrounding cranial, peripheral, or autonomic nerves. Intraoral neurilemmomas are relatively rare and have a wide variety of morphologic and radiologic features. This makes differential diagnosis difficult, and only histopathological features can lead to a definitive neurilemmoma diagnosis. In this report, we present the case of a 30-year-old woman whose chief complaint was a solitary, nodular mass on the right floor of the mouth. After computed tomography and magnetic resonance imaging, we performed an incisional biopsy that showed the typical characteristics of a neurilemmoma. The mass was removed completely through an intraoral surgical approach. Despite losing a portion of the lingual nerve, the patient did not complain of any specific discomfort. Wound healing was uneventful and there were no signs or symptoms of recurrence.

Myositis ossificans of the platysma mimicking a malignancy: a case report with review of the literature

  • Adebayo, Ezekiel Taiwo;Ayuba, Godwin Iko;Ajike, Sunday Olusegun;Fomete, Benjamin
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.42 no.1
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    • pp.55-59
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    • 2016
  • The two main forms of myositis ossificans are congenital and acquired. Either form is rare in the head and neck region. The acquired form is often due to trauma, with bullying as a fairly common cause. This report of myositis ossificans of the platysma in an 11-year-old female patient emphasizes the need for a high index of suspicion in unexplainable facial swellings in children and the benefit of modern investigative modalities in their management.

Tongue-lip adhesion in Pierre Robin sequence

  • Kumar, K.S. Krishna;Vylopilli, Suresh;Sivadasan, Anand;Pati, Ajit Kumar;Narayanan, Saju;Nair, Santhy Mohanachandran
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.42 no.1
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    • pp.47-50
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    • 2016
  • Patients with Pierre Robin sequence exhibit varying degrees of airway obstruction and feeding difficulty. In some patients, airway obstruction may be profound, warranting surgical intervention to maintain a patent airway. The purpose of this article is to highlight the advantages of the tongue-lip adhesion procedure for the management of airway obstruction in such patients compared to the currently available options.

Conservative surgical approach to aggressive benign odontogenic neoplasm: a report of three cases

  • Kumar, Vijay
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.41 no.1
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    • pp.37-42
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    • 2015
  • Aggressive benign odontogenic neoplasms have substantial potential to grow to an enormous size with resulting bone deformities, and they often invade adjacent tissues and spread beyond their normal clinical and radiographic margins; as such, they have a high rate of recurrence. Historically, management (conservative versus aggressive) on the basis of clinical, radiographic and/or histopathologic characteristics has been controversial. However, recent advances in the understanding of the biological features of these lesions may provide greater evidence of the benefits of conservative management. Three patients with different complaints and final histopathologic diagnoses were enrolled in the study. All three cases were treated by a single operator with similar conservative surgical procedures. During follow-up, the patients had uneventful secondary healing and bone regeneration, less packing time than previously reported, no clinical or radiographic evidence of recurrence and no apparent deformity. The aggressive behavior of these lesions requires long clinical and radiographic follow-up. Conservative surgical management may be an option to reduce recurrence and morbidity and increase the probability of uneventful secondary healing and bone regeneration.

Cavernous sinus thrombosis progression from trismus

  • Cho, Jin Yong;Kim, Hyeon Min;Ryu, Jae Young
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.41 no.1
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    • pp.43-47
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    • 2015
  • In the Department of Oral and Maxillofacial Surgery, patients with trismus can be easily identified. If the cause of trismus is infection of the masticatory space near the pterygoid plexus, the possibility of cavernous sinus thrombosis should be considered. We report the case of a patient who presented with limited mouth opening and progressed to cavernous sinus thrombosis, along with a review of the relevant literature.