• Title/Summary/Keyword: Oral and maxillofacial reconstructive surgery

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Cemento-Osseous Dysplasia Largely Occurring in the Mandible: Case Report (하악골에 광범위하게 발생한 백악-골 이형성증의 치험례)

  • Kim, Sin-Guen;Park, Jong-Wook;Nam, Jong-Hoon;Bok, Sung-Cheol;Lee, Young-Man;Park, Ki-Nam;Choi, Dong-Ju
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.33 no.5
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    • pp.454-458
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    • 2011
  • Cemento-Osseous dysplasia is a benign condition of the jaw known to orginate from the periodontal ligament or medullary bone. Its treatment can be categorized according to clinical symptom. If there is no pain or other discomfort, a regular recall examination and having patients maintain proper oral hygeine are the best management. However, if clinical symptoms do exist, proper treatments such as resectioning of the mandible or mandibulectomy are needed. This clinical report describes a rare symptomatic case of cemento-osseous dysplasia which was treated with a conservative surgical method. Using this method, we obtained satisfactory results without additional grafts.

TREATMENT OF NEUROFIBROMATOSIS : 2 Case Reports (신경섬유종증 환자의 외과적 치험 2례)

  • Kim, Su-Gwan;Yeo, Hwan-Ho;Kim, Yong-Gyun;Ahn, Byung-Hoo
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.14 no.4
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    • pp.315-321
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    • 1992
  • Tumors arising from nerve tissue are uncommon in the oral maxillofacial regions. Neurofibroma, a benign neurogenic tumor, can occur as circumscribed solitary or multiple lesions. A solitary neurofibroma is seldom undergo sarcomatous transformation, but fibromatosis is common. Therefore, it is important that we observe the oral and radiographic changes to help minimize the tremendous potential of the disease for facial disfigurement and altered function. The tumors were excised and there are no evidence of recurrence. The patients are satisfied with function and esthetic aspects.

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THE CORONAL APPROACH;ANATOMY, TECHNICAL CONSIDERATIONS AND MORBIDITIES (관상피판술;해부학, 수술시 고려사항, 병적인 상태)

  • Lee, Gi-Hyug;Yeo, Hwan-Ho;Kim, Young-Kyun;Kim, Su-Gwan;Park, No-Seung
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.18 no.4
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    • pp.615-620
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    • 1996
  • The coronal approach is a versatile surgical technique. This method becomes particulary useful for exposure and internal fixation of midfacial fractures and the harvest of calvarial bone graft to manage the complex facial bone fractures. The rectrospective clinical study on the use of this technique in 10 patients was performed. The result shows that this technique provides the excellent exposure of fractures site, the ability to reduce the fragment accurately and good cosmetic results in incision area. We discussed with literatures review that anatomy, technique, indications, and potential complications of the coronal approach.

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TREATMENT OF TEMPOROMANDIBULAR ANKYLOSIS WITH ARTHROPLASTY AND TEMPORAL FASCIA FLAP (관절성형술 및 측두근막 이식술을 이용한 악관절 강직증의 치험례)

  • Lee, Sang-Chull;Kim, Yeo-Gab;Ryu, Dong-Mok;Oh, Seung-Whan;Jin, Taek-Hyun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.18 no.1
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    • pp.55-60
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    • 1996
  • This is a case of bony ankylosis of right temporomandibular joint with mild facial asymmetry resulted from trauma, which bring about the right condylar fracture, and corrected by interpositional arthroplasty with temporal fascia flap and coronoidectomy. The postoperative results were functionally and esthetically good, but continued osbervation is necessary to evaluation of abnormal bony growth and reankylosis.

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MUCOEPIDERMOID CARCINOMA OF THE MOUTH FLOOR (점액 표피양 암종의 치험례)

  • Son, Yong-Jun;No, Jae-Hyeong;Kho, Young-Gui;Kim, Jong-Ha;Lee, Hee-Chul
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.19 no.1
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    • pp.70-78
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    • 1997
  • Mucoepidermoid carcinoma occurs more freguently than any other in the major sacivary glands. It is relatively more common in parotid than in submandibular gland. Stewart at al published the first large series of these tumors in 1945 and suggested the name "Mocoepidermoid tumor". Now it is divided three categories : low-grade, intermediate-grade, high-grade. And Mucoepidermoid carcinomas are composed of mucous cells, epidermoid cells, and intermediate cells. We freated low-grade mucoepidermoid carcinoma patient with induction chemotherapy, surpery, and adjuvomt chemotherapy.

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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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A CASE REPORT OF ADENOID CYSTIC CARCINOMA OF THE MINOR SALIVARY GLAND IN RETROMOLAR PAD (좌측 하악 후삼각부에 발생한 선양 낭종암의 치험례)

  • Oh, Sang-Hwa;Kim, Woo-Hyung;Son, Yong-Jun;Kho, Young-Gui;Lee, Hee-Chul
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.17 no.4
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    • pp.389-395
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    • 1995
  • Adenoid cystic carcinoma is malignant neoplasm belonging to a group of tumors of salivary gland origin. It is an aggressive tumor characterized by slow growth and incidious destruction of surrounding tissues. Perineural invasion is a prominent feature. Spread to regional lymph node is rare, other than by direct extension. Distant metastasis are more common. We experienced a 65-year old female with adenoid cystic carcinoma of minor salivary gland in retromolar pad.

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Correction of Fibrous Dysplasia through Malarplasty without Internal Fixation

  • Oh, Young-Il;Yoon, Kyu-Ho;Park, Kwan-Soo;Cheong, Jeong-Kwon;Bae, Jung-Ho;Lee, Kwon-Woo;Han, Jung-Gil;Shin, Jae-Myung;Baik, Jee-Seon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.35 no.5
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    • pp.337-341
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    • 2013
  • Fibrous dysplasia is a chronic developmental disease of the skeleton involving formation of immature bone. Involvement of facial bones can result in deformation of facial contour. Prominent cheek area is often treated with malarplasty, which has a variety of modifications, depending on the surgeon's preference. The authors report on a case of polyostotic fibrous dysplasia in which the patient's right cheek had a prominent appearance. The prominence was corrected with malarplasty without internal fixation. The soft nature of bone involved in fibrous dysplasia could provide greater flexibility for modification of the traditional surgery.

CLOSURE OF LARGE OROANTRAL FISTULA WITH PEDICLED BUCCAL FAT GRAFT;A CASE REPORT (협지방대유경이식술을 통한 구강상악동루의 외과적 치험례)

  • Cho, Se-In;Yeo, Hwan-Ho;Kim, Young-Kyun;Lee, Hyo-Bin
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.16 no.1
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    • pp.29-32
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    • 1994
  • IN 1956, Peer presented a very comprehensive account of free fatty tissue transplantation. The use of buccal fat pad had been usually used to reconstruct the perioral defects. The buccal fat pad is a special fatty tissue which is markedly different from subcutaneous fat. And it is a easily accessible fat tissue in oral and maxillofacial region. The buccal fat pad can be used as a free graft or pedicled flap. Recently, buccal fat pad is interested in cosmetic surgery because its' removal for cosmetic purpose has been favorable result. We used the buccal fat as an unlined, pedicled graft for closure of large oroantral fistula. We present a case of report and review of literature.

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