• Title/Summary/Keyword: Symphysis

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THE CLINICAL STUDY OF MANDIBULAR FRACTURE

  • Lee, Dong-Keun;Yim, Chang-Joon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.11 no.1
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    • pp.69-77
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    • 1989
  • This is a retrospective study on 219 patients with mandibular fracture. The patients were treated in the Dept. of Oral Maxillofacial Surgery of WON KWANG UNIV. HOSPITAL from Aug. 1, 1984 to Sept. 30. 1988. The results were as follows. 1. The mandibular fractures occured most frequently in the twenties(35%) and male were predominant (74.7%) than females. 2. The most frequent etiologic factor was traffic accident(34.3%). 3. The most common location of fracture was symphysis(37.1%). And angle(27.6%), condyle(25.7%), ramus(1.6%) were next in order of frequency. 4. In mandible fracture, they have an average 1.8 fracture line. 5. The use of plate & screw system were more increased in the comparison of each year. 6. Intermaxillary fixation period was more reduced from the concept of 6 weeks fixation, due to the use of Plate & screw system. 7. Postoperative acute wound infection was developed 9.6% in 219 mandibular fracture patients. The compression osteosynthesis was most common cause of acute wound infection than any other treatment method. 8. Postoperative malocclusion was developed 4% in 219 mandibular fracture. And the compression osteosynthesis was most common cause of malocclusion. 9. Acute wound infection was detailed by the approach method. The Intraoral & extraoral combination method was most common cause on acute infection and intraoral, extraoral approach method was next in order of frequency. 10. Normal mouth opening process was proportioned to IMF period. The short IMF period have a fast normal mouth opening process.

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A CLINICAL STUDY ON THE FACIAL BONE FRACTURE (악안면골절의 임상적고찰)

  • Jang, Hyun-Seok;Jang, Myung-Jin
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.18 no.3
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    • pp.454-462
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    • 1996
  • With the increase of population, dramatic urbanization, traffic, leisure and sports, the number of maxillofacial injury has increased markedly. Subsequently the number of motor vehicle accident, sports accident and industrial accident were increased and the number of oral and maxillofacial trauma patients were also markedly increased. A clinical study on 177 patients with facial bone fracture who visited Kangnam General Hospital during 4 years(1992-1995) was done by analysing sex, cause, fracture site, treatment method, complication and involvement of other body part. The results obtained were as follows : 1. The occurrence was more frequent in male than in female with the ratio of 4.2 : 1 and most frequently in twenties. 2. Violence was the most common cause of facial bone fracture. 3. Mandible was the most frequently occurred site and there were more cases of simple fracture(81.9%) than cases of compound fracture. 4. Simple fracture was most frequently occurred(44.0%). 5. In mandible fracture, simple fracture was 86.1%, fracture site was average 1.5 sites, most frequently in symphysis. 6. As treatment methods, open reduction(78.5%) was used more frequently than closed reduction(21.5%). 7. Post-operative complication occurred in 29.4% of the cases. 8. Other injuries that were related to maxillofacial fracture occurred in 28.2%.

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Correction of Post-traumatic Lower Lip Asymmetry Using Botulinum Toxin Type A (보톡스를 이용한 외상 후 하순 비대칭 교정)

  • Seok, Hyun;Lee, Sang-Woon;Kim, Min-Keun;Kim, Seong-Gon;Park, Young-Wook;Park, Sang-Wook;Park, Young-Ju
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.35 no.4
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    • pp.256-259
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    • 2013
  • Botulinum toxin type A (BTX-A) inhibits muscle contraction, which leads to reversible muscle atrophy and paralysis. Therefore, BTX-A injection can be an effective treatment of facial asymmetry that originated from the uncoordinated muscle movement. A 52-year-old patient was referred from another hospital for the correction of post-traumatic sequelae. The patient had prominent scar in the mandibular symphysis area with asymmetric lower lip movement. The reason for this asymmetric lower lip movement was due to damage in the lower lip depressor muscle. After the injection of BTX-A on the lower lip depressors, asymmetric lip movement has been improved.

AN EXPERIMENTAL STUDY ON THE EFFECT OF THE DEMETHYLCHLORTETRACYCLINE ON MANDIBULAR SYMPHYSIS IN RATS (Demethylchlortetracycline이 백서 하악골결합부의 발육에 미치는 영향에 관한 실험적 연구)

  • Chang, Hyun Il
    • The korean journal of orthodontics
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    • v.10 no.1
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    • pp.37-43
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    • 1980
  • This study was undertaken to assess the effects of demethylchlortetracycline on bone growth of mandibular symphyseal region in rats. Demethylchlortetracycline at 30mg/kg body weight, respectively, were daily administered by mouth to the sewen female rats from 10th day of pregnancy to 13th day. Thirty six new-born rats from these experimental animals were used for histological examination at 1, 5, 10, 15, 20, 25 and 30 days. All these new-born rats were killed by an overdose of ether. Mandibular bodies were removed and fixed in $10\%$ neutral formalin,. Carney and aceton. Specimens were embedded, sectioned and stained with H-E, Van Gieson, PAS and prepared for alkaline phosphatase. The results were as follows; 1. Until erupting of incisors, hyaline cartilage was located in relatively large symphyseal space, but bone trabeculae of ossifying area at incisal side were arranged irregularly in experimental group. 2. During this period, PAS reaction was moderately positive, but alkaline phosphatase reaction was slightly positive. 3. By erupting or incisors, symphyseal space appeared narrower like control group, but alkaline phosphatase reaction tended to slow down. 4. By erupting of molars, symphyseal space appeared muck narrower, and cartilane plate was reduced and aealed off like control group. Alkaline phosphatase reaction tended to slow down severely.

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Surgical Treatment of Cervical Salivary Mucocele in a Pit Bull Terrier (피쁠견에서 경추타액점액류의 외과적치료)

  • 정순욱;정월순;박수현
    • Journal of Veterinary Clinics
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    • v.16 no.1
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    • pp.210-213
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    • 1999
  • A 15 months old male pit bull terrier was shown submandibular swelling, which was extended from left submandibular area through mandibular symphysis to right submandibular area and toward around left neck. In history taking, recurrence of swelling was recorded after conservative surgical incision, drainage and dressing. Palpation revealed no pain and heating, partial flutuation and hardness. By paracentesis, it was showed blood-tinged tenacious exudate without bad-smelling. Left submandibular salivary gland was able to be movable freely and the size decreased to half of that of right submandibular salivary gland. It was diagnosed as cervical salivary mucocele. In operation, rostral portion of left sublingual salivary gland was observed to be damaged transversely, showed black color and leaked saliva. Submandibular gland and rostral portion of sublingual salivary gland were resected, after ligation of ducts of submandibular and sublingual salivary glands. At 15 days postoperation, serosanguineous exudate from operation wound was dramatically decreased and stable granulation tissue mass at this area was first palpated. At 39 days after operation, outline of left and right mandibular was appeared normal and skin tenderness of mandibular area was equal to that of the other body wall.

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Effect of Changing the Side Impact Dummy from EuroSID-1 to EuroSID-2 in the KNCAP Side Impact Evaluation (EuroSID-1에서 EuroSID-2로의 인체모형 변경이 KNCAP 측면충돌안전성 평가에 미치는 영향 연구)

  • Lim, Jae-Moon;Jung, Geun-Seup
    • Transactions of the Korean Society of Automotive Engineers
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    • v.15 no.5
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    • pp.125-132
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    • 2007
  • In order to provide consumers with safety informations of vehicles according to the Korean New Car Assessment Program(KNCAP), the evaluation results and the star ratings of 21 vehicles for the side impact tests have been reported since 2003. Now, the KNCAP considers changing the side impact dummy from EuroSID-1 to EuroSID-2 near future. The rib deflection of EuroSID-2 is 20-30% higher than that of EuroSID-1 because of the removal of "Flat Tops" effect. In this study, the effect of changing the side impact dummy from EuroSID-1 to EuroSID-2 in the KNCAP side impact evaluation is estimated through the previous KNCAP evaluation results. The results show that the decrease of the star ratings would be one star($\bigstar$) approximately.

AN EXPERIMENTAL STUDY ON THE MANDIBULAR GROWTH FOLLOWING RESECTION OF THE LATERAL PTERYGOID MUSCLE IN RAT (백서 외측익돌근 제거가 하악골 성장에 미치는 영향에 관한 실험적 연구)

  • Kim, Tae-Woo
    • The korean journal of orthodontics
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    • v.16 no.1
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    • pp.119-131
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    • 1986
  • The purpose of the study is to note the effects of the resection of the lateral pterygoid muscle on the mandibular growth in the growing rats. Twenty four female Wistar rats were used in the experiment. They were divided into three groups: group 1 ; bilateral sham operation group 2 ; bilateral resenction of the lateral pterygoid muscle group 3 ; unilateral resection of the lateral pterygoid muscle (The right lateral pterygoid muscle was resected and the left one was sham-operated.) Groups 1&2 were sacrificed eight weeks lateral and group 3, four weeks later. All specimens were measured with calipers, and stained with hematoxylin and eosin. Groups 1 & 2 were compared with each other. In group 3, the right side was compared with the left. The results were as follows: 1. In the growing rats, the resection of the lateral pterygoid muscle was followed by a decrease of the mandibular growth. After eight weeks, the condyle-mental foramen distance, the angular process-mental foramen distance, the size of the condylar head, the supradentale-first molar distance, and the diameter of the symphysis were significantly smaller than the control. 2. Resection of the lateral pterygoid muscle resulted in decrease of the thickness of the cartilage layer and the prechondroblastic-chondroblastic layer after four weeks. 3. After eight weeks, group 1 and group 2 were not different significantly in the histologic sections. 4. The condylar cartilage was stabilized eight weeks after the experiment.

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TREATMENT OF MANDIBLE FRACTURES USING BIOABSORBABLE PLATES: PRELIMINARY STUDY (생흡수성판을 이용한 하악골 골절의 치료 : 일차보고)

  • Kim, Young-Kyun;Kim, Su-Gwan
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.27 no.6
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    • pp.570-575
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    • 2001
  • This study evaluated the short-term outcome of treating fractures of the mandible with bioabsorbable plates. Thirty-four fractures of the mandible in 27 patients were treated by open reduction and internal fixation using bioabsorbable plates and 2.4-mm, 2.0-mm, and 1.5-mm pre-tapped screws. The duration of intermaxillary fixation ranged from 0 to 23 days, with a mean of 5.3 days. Patients were evaluated for complications during the follow-up period, which ranged from 2 to 18 months. Five patients(18.5%) experienced complications. These included infection (four patients), and premature occlusal contact(one patient). Except for one case, all complications were minor and adequately managed with incision and drainage, elastic traction, and medication. Delayed infection (osteomyelitis) developed in a symphysis fracture and was treated by saucerization and antibiotics. The fracture line subsequently showed complete consolidation. Bioabsorbable plates can be selectively used for internal fixation in mandibular fractures with the advantage that they do not need to be removed.

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Bony window approach for a traumatic bone cyst on the mandibular condyle: a case report with long-term follow-up

  • Kim, Hyoung Keun;Lim, Jae-Hyung;Jeon, Kug-Jin;Huh, Jong-Ki
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.42 no.4
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    • pp.209-214
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    • 2016
  • Traumatic bone cyst (TBC) occurs preferentially on the mandibular symphysis and body, but rarely on the mandibular condyle. When TBC occurs in the condylar area, it can usually be related with or misdiagnosed as a temporomandibular joint disorder. A 15-year-old female patient visited the Temporomandibular Joint Clinic with a 5-year history of pain and noise localized in the left temporomandibular joint. On imaging, a well demarked oval-shaped radiolucent lesion was observed on the left condyle head. The patient underwent cyst enucleation and repositioning of the bony window on the lateral cortex of the affected condyle head under the impression of subchondral cyst or TBC; however, no cystic membrane was found. The bone defect resolved and showed no recurrence on the serial radiographic postoperative follow-up for 43 months after surgery.

Diagnostic ability of panoramic radiography for mandibular fractures (하악골 골절에 대한 파노라마방사선사진의 진단능)

  • Lee, Ji-Hyun;Jung, Yun-Hoa;Cho, Bong-Hae;Hwang, Dae-Seok
    • Imaging Science in Dentistry
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    • v.40 no.1
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    • pp.33-38
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    • 2010
  • Purpose : The purpose of this study was to evaluate the diagnostic efficacy of panoramic radiographs for detection of mandibular fractures. Materials and Methods : The sample was comprised of 65 patients (55 fractured, 10 non-fractured) with 92 fracture sites confirmed by multi-detector computed tomography (CT). Panoramic radiographs were evaluated for mandibular fractures by six examiners; two oral & maxillofacial radiologists (observer A&B), two oral & maxillofacial surgeons (observer C&D), and two general dentists (observer E&F). Results : Sensitivity of panoramic radiography for mandibular fractures was 95.7% in observer A&B, 93.5% in observer C&D and 80.4% in observer E&F. The lowest sensitivity was shown in symphyseal/parasymphyseal areas, followed by subcondylar/condylar regions. Conclusion : Panoramic radiography is adequate for detection of mandibular fractures. However, additional multidetector CT is recommended to ascertain some indecisive fractures of symphysis and condyle, and in complicated fractures.