• Title/Summary/Keyword: FORT

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COMBINED ORTHODONTIC-SURGICAL TREATMENT FOR CLASS III PATIENT WITH MIDFACIAL DEFICIENCY AND MANDIBULAR PROGNATHISM (중안면부 함몰과 하악전돌을 동반한 III 급 부정교합자의 교정-악교정수술 복합치료)

  • Cho, Eun-Jung;Kim, Jong-Tae;Yang, Won-Sik
    • The korean journal of orthodontics
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    • v.26 no.5 s.58
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    • pp.637-645
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    • 1996
  • In non-growing Class III malocclusion, the critical aspects which determine the need of orthognatic surgery are the severity of skeletal discrepancy, incisor inclination, overbile and soft tissue profile. Two-jaw surgery is more effective in correcting severe sagittal, vertical, transverse skeletal discrepancies and facial asymmetry. And more esthetic and stable profile can be achieved by two-jaw surgery Some midfacial deficiency Patients can be treated by Pyramidal Le Fort II osteotomy to maintain infraorbital rim and malar complex and to advance nasomaxillary complex. Others who require advancement of infraorbital rim and malar complex can be treated by quadrangular Le Fort II osteotomy. On the following cases, patients who had represented midfacial deficiency and mandibular prognathism were treated with combined orthodontic-surgical therapy by Le Fort II osteotomy and BSSRO.

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A CASE REPORT OF SURGICAL CORRECTION OF NASOMAXILLARY HYPOPLASIA DUE TO CONGENITAL SYPHILIS BY LE FORT II OSTEOTOMY WITH CORONAL APPROACH (선천성 매독에의한 비상악골 부전증환자의 관상두피 접근법에 의한 Le Fort II 골절단술을 이용한 치험례)

  • Um, In-Woong;Kim, Chang-Soo
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.13 no.1
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    • pp.88-94
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    • 1991
  • Maxillofacial deformities are not considered to be a trouble in social life but function. So many maxillofacial plastc surgeons has made efforts to overcome these troubles and bring out more positive life. The proper proportion and shape decide esthetic quality. Lower third of face was consist with lip, cheek, mandibular lower border and mandibular angle. Widening lower third of face give a impression with muscular and recklessness. And lower and wide mandibular angle makes face square shape. Unilateral involvement cause asymmestric face. These face is considered unfavorable, especially in Korea or Japan. We prevent a number of with mandibular angle Bulging which was corrected with mandibular osteotomy or masseter myotomy.

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LOCATION OF THE DESCENDING PALATINE ARTERY IN RELATION TO THE LE FORT I OSTEOTOMY IN KOREANS (한국인에 있어서 하행구개동맥의 위치 연구 (Le Fort I형 골 절단술과 관련하여))

  • Lee, Il-Gu;Myoung, Hoon;Hwang, Soon-Jung;Seo, Byoung-Moo;Lee, Jong-Ho;Choung, Pil-Hoon;Kim, Myung-Jin;Choi, Jin-Young
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.29 no.6
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    • pp.509-512
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    • 2007
  • Purpose: The Le Fort I osteotomy is a commonly performed maxillary procedure for dentofacial deformity. One of the risks of this procedure is major hemorrhage resulting from injury to the descending palatine artery. So it is very important to know the exact position of the descending platine artery. An increased understanding of the position of this artery can minimize the intra-operative bleeding while allowing extension of the bone cuts to achieve exact positioning maxilla. The aim of this investigation was to study the position of the descending palatine artery as it relates to the Le Fort I osteotomy. Methods and patients: Total 40 patients who underwent Le Fort I osteotomy in SNUDH OMFS were studied in this study. We measured the distance from the pyriform aperture to the descending palatine artery (DPA distance) using a ruler. We investigated the relationship between DPA distance, the distance from A point to the McNamara line on lateral cephalography and the patient's body height. Results: The average distances from the pyriform rim to the descending palatine artery were 35.3 mm on the right (range: $30{\sim}40mm$) and 33.7mm (range: $30{\sim}41mm$) on the left in males. Those in females were 33.4 mm on the right (range: $28{\sim}40mm)$ and 32.8mm (range: $27{\sim}38mm$) on the left. The significances between the distance the DPA distance, the body height and the distance from A point to McNamara line were not found. Conclusion: Injury to the descending palatine artery during Le Fort I osteotomy can be minimized by not extending the osteotomy more than 30 mm posterior to the pyriform aperture in mal, and 27 mm in female.

THE SOFT TISSUE CHANGES OF THE NASOLABIAL REGION AFTER MAXILLARY LE FORT I ADVANCEMENT OSTEOTOMY (상악골 Le Fort I 전진 골절단술후 비부의 연조직 변화)

  • Park, Gwang-Bum;Yeo, Hwan-Ho;Kim, Su-Gwan
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.21 no.3
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    • pp.284-287
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    • 1999
  • The nose, a striking features of the human face, is regarded by many clinicians as the keystone of facial esthetics. Clinically, as the treatment of a dentofacial deformity, the soft tissue changes that occurred normally with movement of the skeletal bases. Changes of the soft tissue in the maxillary orthognathic surgery are widening of alar base, elevated nasal tip and flattening of upper lip. In addition, soft tissue change is difficult to predict, it has considerable variability in the response of soft tissue. We reviewed patients who received Le Fort I advancement osteotomy in our department and analysed preoperative and postoperative alar base width, nasal height in clinical measurement and cephalometry and patient's satisfaction of postoperative nasal appearance.

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Surgical correction of septal deviation after Le Fort I osteotomy

  • Shin, Young-Min;Lee, Sung-Tak;Kwon, Tae-Geon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.38
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    • pp.21.1-21.6
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    • 2016
  • Background: The Le Fort I osteotomy is one of the most widely used and useful procedure to correct the dentofacial deformities of the midface. The changes of the maxilla position affect to overlying soft tissue including the nasal structure. Postoperative nasal septum deviation is a rare and unpredicted outcome after the surgery. There are only a few reports reporting the management of this complication. Case Presentation: In our department, three cases of the postoperative nasal septum deviation after the Le Fort I osteotomy had been experienced. Via limited intraoral circumvestibular incision, anterior maxilla, the nasal floor, and the anterior aspect of the septum were exposed. The cartilaginous part of the nasal septum was resected and repositioned to the midline and the anterior nasal spine was recontoured. Alar cinch suture performed again to prevent the sides of nostrils from flaring outwards. After the procedure, nasal septum deviation was corrected and the esthetic outcomes were favorable. Conclusion: Careful extubation, intraoperative management of nasal septum, and meticulous examination of preexisting nasal septum deviation is important to avoid postoperative nasal septum deviation. If it existed after the maxillary osteotomy, septum repositioning technique of the current report can successfully correct the postoperative septal deviation.

A clinico-statistical study of soft tissue changes of upper lip & nose following Le Fort I maxillary movement (Le Fort I 상악골이동술 후 상순과 비부의 연조직 변화에 대한 임상통계학적 연구)

  • Park, Jong-Oh;Lee, Sang-Chull
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.22 no.3
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    • pp.310-318
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    • 2000
  • The purpose of this study was to assess the soft tissue changes of upper lip & nose using 38 patients who treated with Le Fort I osteotomy for the correction of dentofacial deformities. Patients were devided into three groups. One was advancement group of maxilla(Group I, N=14), another was impaction group of maxilla(Group II, N=12) and the other was combination group(advancement & impaction)(Group III, N=12). Preop. and 1 month postop. (T1), preop. and 6 months postop.(T2) were analyzed and compared. The results obtained were as follows : 1. The upper lip thickness(UL-VP) moved anteriorly approximately 62% of the horizontal maxillary change and this was significant in the advancement group(Group I) 2. The upper lip length(Stm-Sn) and the lower border of upper lip(Stm) moved superiorly 25%, 40% of the maxillary impaction group(Group II) (P<0.05) 3. There was significancy in the upper lip thicness(UL-VP) approximately 56% of the combination group(Group III) (P<0.05) 4. The nasolabial angle decreased in all groups, but there were no significancy.

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Framework of File System Robustness Test (FORT : 파일 시스템 강인성 테스트 프레임 워크)

  • Kim, Young-Jin;Won, You-Jip;Kim, Ra-Kie;Lee, Mo-Won;Park, Jae-Seok;Lee, Joo-Wheun
    • Journal of KIISE:Computer Systems and Theory
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    • v.34 no.8
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    • pp.348-366
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    • 2007
  • Capacity of modem storage devices is becoming larger than yesterday and integration of disk is increasing. It refers that physical errors can damage a lot of digital information on storage devices. So we propose file system test framework in this paper to test integrity and robustness of file systems. We develop the tool for generating bad sectors on disks and the tool which creates all physical errors defined in storage devices. We also develop the tool for immediately monitoring the condition of read and write execution on storage devices. So, by integrating those tools, we develop FORT, test framework for confirming robustness of file system. We analyze robustness of ext3 file systems by FORT. Lastly, we present draft of intelligent system merging file system and device driver's layer architecture.

A STUDY ON THE POSTOPERATIVE STABILITY OF LEFORT I OSTEOTOMY IN THE TWO-JAW SURGERY OF THE SKELETAL CLASS III MALOCCLUSION PATIENTS (골격성 제 III급 부정교합 환자의 상하악 동시이동술시 LeFort I 상악골절단술의 술후 안정성에 관한 연구)

  • Im, Yang-Hee;Ko, Seung-O;Shin, Hyo-Keun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.27 no.5
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    • pp.397-403
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    • 2001
  • Purpose: The purpose of this study was to evaluate the postoperative stability of LeFort I osteotomy in two-jaw surgery of skeletal class III malocclusion and to help the establishment of treatment planning in patients with a skeletal class III malocclusion in the future. Materials and Methods: The lateral cephalograms of 14 patients who had been underwent two-jaw surgery via one-piece LeFort I osteotomy were traced and the landmarks were identified. Repeated tracings and construction of reference planes were done. Comparisons were made from the immediate postoperative to late postoperative results of each landmarks on the horizontal and vertical directions. Conclusions: 1. The horizontal changes of landmark ANS, point A, PNS and Mx6Rt between immediate postoperative to late postoperative data were statistically insignificant(p>0.05). 2. The vertical changes of landmark ANS, point A, PNS, Mx6Cr and Mx6Rt between immediate postoperative to late postoperative data were statistically insignificant(p>0.05). 3. The horizontal change of landmark Mx6Cr between immediate postoperative to late postoperative data was statistically significant(p<0.05). 4. Results showed that it was stable that one-piece LeFort I osteotomy in two-jaw surgery of skeletal class III malocclusion.

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