• Title/Summary/Keyword: Oral and Maxillofacial Surgery

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THE CASES REPORT OF ANKYLOSIS (악관절 강직증의 치험례)

  • Hyun, Young-Ok;Kang, Chang-Hee;Noh, Yang-Ho;Chun, Young-Doo;Kim, Shin-Hun;Lee, Hee-Won
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.23 no.1
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    • pp.95-102
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    • 2001
  • Temporomandibular ankylosis is defined as a situation in which the condyle is fused to the fossa by bone or fibrous tissue. Conditons such as trauma, infection, or systemic disease may predispose to various types of ankylosis, bringing about different levels of limitation in mandibular movement. Most patients with temporomandibular ankylosis are associated with limitation of maximal mouth opening, deviation of the chin toward the affected side, impaired occlusion, chronic pain, compromised oral hygiene, severe facial asymmetry & impeded mandibular molar eruption occurring in childhood. Several techniques to release ankylosis have been described in the literature, showing variable and often unsatisfactory results. The most frequently used operations are gap arthroplasty, interpositional arthroplasty, and exicision and joint reconstruction with autogenous or alloplastic materials. We have managed the two patients of TMJ ankylosis. They had previously TMJ surgery and we treated with gap arthroplasty & active physial therapy. We have obtained favorable results and report these cases with literatures review.

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Sinusitis Managment Associated with Maxillary Sinus Augmentation: Case Report (상악동 증대술과 관련된 상악동염의 처치: 증례보고)

  • Hong, Su-Ryeon;Lee, Yong-Wuk;Yoon, Kyung-Sung;Choe, Ji-Hye;Ha, Ju-Hyo;Kim, In-Ho;Jung, Su-Jin;Lee, Hyun-Su;Yang, Soo-Nam
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.32 no.6
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    • pp.558-562
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    • 2010
  • Sinusitis has been reported as a complication of sinus lift surgery. Obstruction of the sinus outflow tract by mucosal edema and particulate graft material may result in sinusitis. Two main surgical procedures have been proposed for the treatment of associated infectious complications; inferior meatal antrostomy and functional endoscopic sinus surgery through transnasal approach. We performed superior lateral wall antrostomy through introral approach in patient suffering from the sinusitis after sinus floor augmentation and implant installation. This procedure permitted easier access to the maxillary sinus for treat sinusitis caused by sinus lifting.

HEMORRHAGE OF SUBLINGUAL REGION AND AIRWAY OBSTRUCTION THAT OCCURRED AFTER DENTAL IMPLANT PLACEMENT ON MANDIBLE ANTERIOR EDENTULOUS AREA : CASE REPORT (하악 전치부 무치악부의 임플란트 식립 후 발생한 설하 부위의 출혈과 기도폐쇄)

  • Yang, Seung-Bin;Jang, Chang-Su;Jang, Yong-Wook;Lee, Eui-Hee;Yim, Jin-Hyuk;Kim, Jwa-Young;Yang, Byoung-Eun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.35 no.6
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    • pp.499-501
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    • 2009
  • Because sublingual region is well-vascularized and sublingual artery is passed throughout this region, it should be careful not to perforate lingual cortex when placing dental implant on mandible. A 83-years-old male complained severe sublingual hematoma, hemorrhage and dyspnea came our outpatient department. He had received dental implant placement in the same day. He needed hemostasis and airway control. If soft tissue of sublingual region and the artery are injured, it may result in life-threatening excessive hemorrhage. In dental implant surgery, especially mandible, we should recognize the accurate shape of mandible and anatomy of sublingual region. It is important to stop anticoagulant agent before surgery. When a patient has airway obstruction, the operator should manage airway quickly.

Intubation Granuloma after Orthognathic Surgery: Report of 3 Cases (악교정 수술 후에 발생한 기관 삽관성 육아종의 증례보고)

  • Ha, Jiwon;Yoon, Sunghwan;Yi, Sangmin;Chung, Kwang;Jung, Seunggon;Kook, Minsuk;Park, Hongju;Ryu, Sunyoul;Oh, Heekyun
    • Journal of The Korean Dental Society of Anesthesiology
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    • v.13 no.3
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    • pp.133-137
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    • 2013
  • Three patients who underwent orthognathic surgery under general anesthesia complained about difficulty in vocalization and hoarseness after surgery. Intubation granuloma was diagnosed by the department of otorhinolaryngology in our hospital and the masses were excised by laryngoscopy assisted surgery. Chief complaints and symptoms of patients were relieved after surgery. These cases report with review of articles is presented, and the etiology, diagnosis, treatment and prognosis of intubation granuloma after orthognathic surgery are evaluated.

Mandibular intraosseous squamous cell carcinoma lesion associated with odontogenic keratocyst: a case report

  • Park, Han-Kyul;Kim, Tae-Seop;Geum, Dong-Ho;Yoon, Sang-Yong;Song, Jae-Min;Hwang, Dae-Seok;Cho, Yeong-Cheol;Kim, Uk-Kyu
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.41 no.2
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    • pp.78-83
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    • 2015
  • Squamous cell carcinoma (SCC) is the most common malignant tumor in the oral cavity, and it accounts for about 90% of all oral cancers. Several risk factors for oral SCC have been identified; however, SCC associated with odontogenic keratocysts have rarely been reported. The present study describes the case of a 36-year-old man with SCC of the right ramus of the mandible, which was initially diagnosed as a benign odontogenic cyst. He underwent enucleation at another hospital followed by segmental mandibulectomy and fibular free flap reconstruction at our institution. In this case, we introduce a patient with oral cancer associated with odontogenic cyst on the mandible and report a satisfactory outcome with wide resection and immediate free flap reconstruction.

Orthognathic Surgery Using Three-piece Segmental Maxillary Osteotomy to Correct Severe Facial Asymmetry: A Case Report

  • Kim, Seo-Yoon;Kim, Su-Gwan;Oh, Ji-Su;Ahn, Yu-Seok;Moon, Kyung-Nam;Jeon, Woo-Jin;Lee, Jeong-Hoon;Im, Jae-Hyung;Yoo, Kyung-Hwan;Kim, Jin-Ha
    • Journal of Korean Dental Science
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    • v.3 no.1
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    • pp.39-42
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    • 2010
  • This case report presents a case that underwent three-piece segmental maxillary osteotomy and sagittal split ramus osteotomy on a patient with severe facial asymmetry accompanied by maxillary prognathism, severe left scissor bite, and chin point deviation. The resulting facial appearance and occlusion were improved, thereby three-piece segmental maxillary osteotomy is regarded effective methed in treating severe facial asymmetry.

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