• Title/Summary/Keyword: maxillofacial surgery

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Open Rhinoplasty (개방형 비성형술)

  • Lee Jong-Ho;Kim Yoon-Tae;Myoung Hoon;Hwang Soon-Jung;Seo Byoung-Moo;Choi Jin-Young;Choung Pill-Hoon;Kim Myung-Jin
    • Proceedings of The Korean Cleft Lip And Palate Association
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    • 2003.06a
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    • pp.25-25
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    • 2003
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Alveolar Ridge Augmentation Using Titanium Reinforced Goretex (TRG) and Titanium Mesh in Severe Alveolar Bone Loss Area: Case Report (심하게 흡수된 치조제에 Titanium 강화 Gore-Tex (TRG) 및 Titanium Mesh로 수직적 골증대술을 실시한 증례보고)

  • Kim, Won-Jik;Yoon, Kyung-Sun;Hong, Su-Ryun;Choi, Jin-Kyung;Lee, Yong-Uk;Kim, Dong-Suk;Hyun, Jong-Oh;Cho, Hyo-Won;Choi, Ji-Hye;Jung, Tae-Woong;Bae, Yoon-Ki;Kwon, Sun-Kyu;Choi, Hyun-Joon;Lee, Hyun-Su;Yang, Su-Nam
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.33 no.1
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    • pp.66-72
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    • 2011
  • A severely vertical resorbed ridge is a significant challenge in implant dentistry. To solve this problem, several augmentation techniques, such as guided bone regeneration (GBR), onlay bone grafts, distraction osteogenesis, and ridge splitting techniques, have been proposed and used for several years. Among these methods, vertical ridge augmentation using guided bone regeneration aims to build space and guide osteoblasts to this space to promote osteogenesis. The aim of guided bone regeneration is to maintain and stabilize the space and block the proliferation of adjacent soft tissue. In our hospital, we encountered a case of a woman in her forties with an atrophied mandible, who underwent implant surgery in the right mandible. Titanium reinforced Gore-Tex (TRG) was used to augment the mandible and titanium mesh was used in the left mandible. Favorable results were obtained. This report compares the two methods and reviews the relevant literature.

Evaluation of Relapse according to Set-back Degree of the Mandible at Bilateral Sagittal Split Ramus Osteotomy in Mandibular Prognathism Patients (골격성 3급 부정교합 환자에서 양측 상행지 시상분할 골절단술을 이용한 하악 후방이동 시 이동량에 따른 회귀현상)

  • Yoo, Kyung-Hwan;Kim, Su-Gwan;Moon, Seong-Yong;Oh, Ji-Su;Kim, Saeng-Gon;Park, Jin-Ju;Jung, Jong-Won;Yoon, Dae-Woong;Yang, Seong-Su
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.33 no.4
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    • pp.319-322
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    • 2011
  • Purpose: The purpose of this study was to examine the appropriate degree of set-back of the mandible by evaluating the rate of relapse after surgery. Methods: Among the patients who visited our hospital from January 2002 to January 2007 and who underwent orthognathic surgery, of the patients available for follow-up observation, the rate of relapse after surgery was investigated according to the set-back degree. The patients were divided into groups by the degree of set-back, and relapse was evaluated by the radiographs performed the day after surgery, 6 months after surgery, 1 year after surgery, 2 years after surgery and 3 years after surgery. Results: In cases that exceeded the limit of posterior movement of the mandible (13 mm) or that had the wrong position of the condyle, a greater tendency toward relapse was shown. Conclusion: Based on the results of this study, among the cases that required a large amount of posterior movement of the mandible, two jaw surgeries accompanied by bilateral sagittal split ramus osteotomy (BSSRO) and LeFort I osteotomy are recommended.

Deep Neck Space Infection Caused by Keratocystic Odontogenic Tumor

  • Oh, Ji-Su;Kim, Su-Gwan;You, Jae-Seek;Min, Hong-Gi;Kim, Ji-Won;Kim, Eun-Sik;Kim, Cheol-Man;Lim, Kyung-Seop
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.36 no.2
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    • pp.73-77
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    • 2014
  • Keratocystic odontogenic tumor (KCOT) is a benign cystic intraosseous tumor of odontogenic origin. An infection of a KCOT is not common because KCOT is a benign developmental neoplasm. Moreover, a severe deep neck space infection with compromised airway caused by infected KCOT is rare. This report presents a 60-year-old male patient with a severe deep neck space infection related to an infected KCOT due to cortical bone perforation and rupture of the exudate. Treatment of the deep neck space infection and KCOT are reported.

Closure of oroantral fistula: a review of local flap techniques

  • Kwon, Min-Soo;Lee, Baek-Soo;Choi, Byung-Joon;Lee, Jung-Woo;Ohe, Joo-Young;Jung, Jun-Ho;Hwang, Bo-Yeon;Kwon, Yong-Dae
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.46 no.1
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    • pp.58-65
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    • 2020
  • Oroantral fistula (OAF), also termed oroantral communication, is an abnormal condition in which there is a communicating tract between the maxillary sinus and the oral cavity. The most common causes of this pathological communication are known to be dental implant surgery and extraction of posterior maxillary teeth. The purpose of this article is to describe OAF; introduce the approach algorithm for the treatment of OAF; and review the fundamental surgical techniques for fistula closure with their advantages and disadvantages. The author included a thorough review of the previous studies acquired from the PubMed database. Based on this review, this article presents cases of OAF patients treated with buccal flap, buccal fat pad (BFP), and palatal rotational flap techniques.

Anatomical Review of Radial Forearm Free Flap for the Oral Cavity Reconstruction (구강재건을 위한 요골전완 유리피판의 해부학적 고찰)

  • Kim, Soung-Min;Seo, Mi-Hyun;Kang, Ji-Young;Eo, Mi-Young;Myoung, Hoon;Lee, Suk-Keun;Lee, Jong-Ho
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.33 no.1
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    • pp.93-101
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    • 2011
  • Reconstruction following a resection of malignant oral cavity tumors is one of the most difficult problems in recent oral oncology. The radial forearm free flap (RFFF) is a thin, pliable soft tissue flap with large-caliber vessels for microvascular anastomosis. Its additional advantages include consistent flap vascular anatomy, acceptable donor site morbidity and the ability to perform simultaneous flap harvest with a tumor resection. For a better understanding of RFFF as a routine reconstructive procedure in oral and maxillofacial surgery, the constant anatomical findings must be learned and memorized by young doctors during the special curriculum periods for the Korean national board of oral and maxillofacial surgery. This review article discusses the anatomical basis of RFFF in the Korean language.

SOLUTIONS AND PREVENTION OF PROBLEMS ARISING FROM ALVEOLAR DISTRACTION OSTEOGENESIS : 4 CASE REPORTS (치조골 신장술 후 발생한 문제점의 해결책 및 예방법 : 증례보고)

  • Kim, Young-Ran;Kim, Yeo-Gab;Lee, Baek-Soo;Kwon, Yong-Dae;Yoon, Byung-Wook;Choi, Byung-Joon;Yu, Yong-Jae;Oh, Jung-Hwan
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.30 no.5
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    • pp.495-499
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    • 2008
  • For the successful placement of dental implants, adequate alveolar bone height and width are required. Alveolar distraction osteogenesis is an effective method that resolves insufficient alveolar bone height for dental implant placement, and thus has been clinically applied with satisfactory results. But, minor and major problems may occur during the treatment. In the following report, we studied for such problematic cases. The problems are as follows: 1) sharp edges of the transport segment, 2) infection, 3) soft tissue dehiscence, 4) limitation of distraction, 5) numbness, 6) insufficient bone formation. But, most of them were answered by simple solutions and did not jeopardize the final outcomes. Distraction osteogenesis can be considered a safe and predictable procedure for lengthening the alveolar bone.

Self-inflating oral tissue expander for ridge augmentation in the severely atrophic mandible

  • Park, Sung-Ho;Choi, Sung-Keun;Jang, Jin-Hyun;Kim, Jin-Woo;Kim, Ji-Youn;Kim, Myung-Rae;Kim, Sun-Jong
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.39 no.1
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    • pp.31-34
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    • 2013
  • In dentistry, tissue expanders have been used to obtain sufficient soft tissue for alveolar bone augmentation in the severely atrophic ridge. Herein, we review two cases of soft tissue augmentation using a self-inflating tissue expander in patients in the Department of Oral and Maxillofacial Surgery at Ewha Womans University Mokdong Hospital for bone graft and implant operations. The results of each patient were presented using pre-operative and post-operative radiographs and clinical exams. The results of our study indicate successful bone graft and implant surgery using a self-inflating tissue expander.