• Title/Summary/Keyword: Facial fracture

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Treatment of Facial Palsy in Hyangsang Medicine (구안와사(口眼喎斜)의 형상의학적 치료)

  • Kang Kyung Hwa;yeon Jong Won;Lee Yong Tae
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.18 no.6
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    • pp.1585-1597
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    • 2004
  • Facial palsy is a common disease in clinic, which can be classified into central and peripheral according to the causes. The central facial palsy is caused by cerebral vascular accident, brain tumor, etc. The peripheral facial palsy comes from cold stimulus on face, regional infection of virus, suppurative tympanitis, inflammation on mastoid process, pathological teeth, trauma like cranial fracture, and so forth, They have distinctive features in diagnosis. While the central facial palsy is followed by hemiplegia and articulation disorder, the peripheral one by the disappearance of wrinkles on the forehead and rising of eyeball on paralyzed side when closing the eyes. Most of the cases in this thesis are peripheral palsy. The social classes and ages of the patients are so various that the treatments must be applied from various standpoints. The statistical data shows that the functional weakness of the whole body is the fundamental condition of the facial palsy. Therefore it is very important to find and the exact pathology and treatment appropriate for Hyungsang of the patients.

TREATMENT OF FACIAL MULTIPLE COMPLEX FRACTURES;CASE REPORTS (안면부 다발성 복잡골절의 치료;증례보고)

  • Kim, Young-Kyun;Yeo, Hwan-Ho;Yang, In-Seog
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.16 no.2
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    • pp.208-214
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    • 1994
  • Successful treatment of patients with multiple complex facial bone fractures is dependent on the precise clinical and diagnostic image, well-established systematic principles of fracture repair. The oral and maxillofacial surgeon should appreciate the postoperative complications and minimize or manage adequately. Most of complications can be treated secondarily, but we should appreciate the fatal complications which are impossible to treat.

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Nasoethmoid orbital fracture reconstruction using a three-dimensional printing-based craniofacial plate

  • Hyun Ki, Hong;Do Gon, Kim;Dong Hun, Choi;Anna, Seo;Ho Yun, Chung
    • Archives of Craniofacial Surgery
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    • v.23 no.6
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    • pp.278-281
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    • 2022
  • The face is one of the most important parts of the body. Untreated facial fractures can result in deformities that can be harmful to patients. Three-dimensional (3D) printing is a rapidly evolving technology that has recently been widely applied in the medical field as it can potentially improve patient treatment. Although 3D printing technology is mostly used for craniofacial surgery, some studies have proved that it can be used to treat nasoethmoid orbital fractures. In this study, a patient-customized plate was constructed using a 3D printer and applied in a simulated surgery for the treatment of nasoethmoid orbital fracture.

COMPUTED TOMOGRAPHIC STUDY OF MAXILLOFACIAL GUNSHOT INJURIES (악안면부 총상 환자의 전산화단층사진상의 연구)

  • Park In-Woo
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.26 no.2
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    • pp.65-73
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    • 1996
  • The purpose of this study was to evaluate the clinical and computed tomographic features of 7 cases of maxillofacial gunshot injuries in the suicidal patients visited the emergency room, Capital Armed Forces General Hospital. The obtained results were as follows : 1. The gunshot wounds were directed from submental area to dorsum of nose(3 cases), frontal area(1 case), orbit(1 case), infraorbital area (1 case), and lateral to nasal wing(l case). The shape of inlet in gunshot wounds were round (diameter: l-3cm) and that of outlet were oval shape(size : inlet

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Treatment of Severe Blepharoptosis after Blow Out Fracture (안와 파열골절 후 발생한 중증 안검하수의 치료)

  • Kim, Nam-Hun;Yang, Jeong-Yeol;Moon, Jae-Won;Kim, Gyu-Bo;Cheon, Ji-Seon
    • Archives of Plastic Surgery
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    • v.37 no.4
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    • pp.461-464
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    • 2010
  • Purpose: Blepharoptosis can result from either congenital or acquired causes. Blow out fracture or facial bone fracture including blow out fracture can be one of the causes. Authors experienced 3 cases of severe blepharoptosis after blow out fracture treated only with observation after reduction of associated fracture. Methods: Reconstruction of orbital wall was conducted on all cases diagnosed as blow out fracture using 3 dimensional computed tomography, and conservative treatment was done on accompanying severe blepharoptosis. Results: At the time of injury, all cases showed severe blepharoptosis requiring frontalis muscle transfer for correction. But blepharoptosis was recovered in an average of 18 weeks without any surgical procedure except reconstruction of orbital wall. Conclusion: Once Blepharoptosis occurred after blow out fracture, thorough evaluation must be done at first. If definitive cause of blepahroptisis cannot be found as authors' cases, injury of oculomotor nerve may result in blepharoptosis. So, as for blepharoptosis after blow out fracture, conservative treatment following reconstruction of fractured orbital wall can be one of good management.

A Review of Subbrow Approach in the Management of Non-Complicated Anterior Table Frontal Sinus Fracture

  • Kim, Jeenam;Choi, Hyungon
    • Archives of Craniofacial Surgery
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    • v.17 no.4
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    • pp.186-189
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    • 2016
  • Frontal sinus fractures, particularly anterior sinus fractures, are relatively common facial fractures. Many agree on the general principles of frontal fracture management; however, the optimal methods of reduction are controversial. The subbrow approach enables accurate reduction and internal fixation of the fractures in the anterior table of the frontal sinus by allowing direct visualization of the fracture. Given the surgical success in reduction and rigid fixation, patient satisfaction, and aesthetic benefits, the transcutaneous approach through a subbrow incision is superior to other reduction techniques used in the management of an anterior table frontal sinus fracture.

THE TRANSCARUNCULAR APPROACH OF THE MEDIAL ORBITAL WALL FRACTURE (내측 안와벽 골절 처치: Transcaruncular approach)

  • Kim, Hyun-Chul;Choi, Ju-Seok;Baek, Jin-A;Shin, Hyo-Keun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.29 no.1
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    • pp.63-70
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    • 2007
  • The occurrence of medial orbital wall fracture is isolated or combined with other facial bone fracture. There are many complications, for example, diplopia, enophthalmos, limitation of eye movement, visual activity depression and blindness. Because of these complications, the accurate diagnosis and treatment of medial orbital wall fracture is very important. We have reconstructed medial orbital walls with transcaruncular approach and obtained good results in patients with medial orbital wall fracture.

CAROTID-CAVERNOUS SINUS FISTULA ACCOMPANYING FACIAL BONE FRACTURE : Report of a Case (안면골 골절과 동반된 경동맥해면동루의 증례보고)

  • Park, No-Bu;Seo, Yeon-Ho;Moon, Seon-Hye;Lee, Yong-Oh
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.15 no.2
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    • pp.100-104
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    • 1993
  • Carotid-cavernous sinus fistula(CCSF) is an abnormal arterio-venous communication between the cavernous sinus and the internal carotid artery. It is usually caused by craniofacial trauma and a very rarely encountered complication, but it may also occur spontaneously. The most common cause of traumatic CCSF is blunt trauma, which usually associated with a skull base, frontal or midfacial fracture. The common clinical feature of CCSF are orbital bruit, headache, exophthalmos, chemosis, diplopia, visual disturbance and others. This dramatic ocular-orbital symptoms are principally due to orbital venous hypertension. The symptoms occured within a few hours to a maximum of a year after injury, usually within several weeks. The patient, 33-year-old female, developed a carotid-cavernous sinus fistula after only minimal closed trauma We present a rare case of CCSF associated facial bone fracture that was successfully treated by detachable balloon embolization with a review of the literature.

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SUBMENTAL INTUBATION IN PANFACIAL TRAUMA PATIENT : A CASE REPORT (전안면골 외상 환자에서 턱밑 기관내 삽관에 대한 증례보고)

  • Seo, Dong-Jun;Kim, Nam-Kyun;Park, Se-Hyun;Kang, Yeon-Hee;Lee, Sung-Jin;Kim, Hyung-Jun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.30 no.6
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    • pp.604-607
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    • 2008
  • The technique of submental intubation in patient with multiple facial fracture and skull base fracture was originally described by Altemir. Not only is intermaxillary fixation feasible when using this surgical technique but a good field of vision is acquirable, and postoperative complications due to tracheostomy can be prevented. After Altemir presented submental intubation, many modified techniques were reported, applicable not only to trauma patients but also to elective surgeries such as orthognathic surgery including Lefort II or III osteotomy. This technique is easy to use, rapid and free of complications compared to alternative intubation method especially tracheostomy for multiple facial trauma patients.

Analysis of Pharmacopuncture Used in Facial Nerve Palsy Articles that Published in the Journal of Korean Medicine (한의학 학술지에 게재된 안면신경마비 증례 연구에서 사용된 약침에 관한 고찰)

  • Yoo, Hee-Jo;Kim, Gyung-Jun
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.32 no.3
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    • pp.105-115
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    • 2019
  • Objectives : The purpose of this study is to analyze the trends of phamacopuncture used in facial nerve palsy related articles that have been published in the Korean medicine journal. Methods : 242 papers related to facial nerve palsy were retrieved from Oriental Medicine Advanced Searching Integrated System(OASIS) and Korean Traditional Knowledge Portal(KTKP). We selected 13 research papers treated with pharmacopuncture for facial nerve palsy. We analyzed for type of pharmacopuncture used, treatment point and clinical type. Results : 1. The number of searched articles is thirteen. 2. The most common clinical type of facial nerve palsy is Bell's palsy. Other types are accompanying tympanitis type, herpes zoster oticus, caused by traumatic temporal bone fracture type, Foville syndrome, Foville-Millard-Gubler syndrome and multiple cerebral neuritis. 3. In the case of pharmacopuncture, the most frequently used type is Hominis Placenta Pharmacopunture. The second is Hwangreonhaedok-tang and Hwangreon Pharmacopuncture. Other than that BV, Sinbaro, Jungsongouhyul Pharmacopuncture, Cornu Cervi Pantotrichum Pharmacopuncture and Ginseng pharmacopuncture are used. 4. The most frequently used part as a treatment point is ST4, ST6, TE17.