Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
권호 표지

THE CLINICAL STUDY OF THE MAXILLOFACIAL WAR INJURIES IN KOREAN

한국인 전상환자의 악안면결손에 대한 임상적연구

  • Choi, Kyu-Hwan (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Wonkwang University) ;
  • Min, Seung-Ki (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Wonkwang University) ;
  • Um, In-Woong (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Wonkwang University) ;
  • Kim, Soo-Nam (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Wonkwang University)
  • 최규환 (원광대학교 치과대학 구강악안면외과학 교실) ;
  • 민승기 (원광대학교 치과대학 구강악안면외과학 교실) ;
  • 엄인웅 (원광대학교 치과대학 구강악안면외과학 교실) ;
  • 김수남 (원광대학교 치과대학 구강악안면외과학 교실)
  • Published : 1992.12.31
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Abstract

Maxillofacial war injures is specific representative of severe hard and soft tissue defect. This type of injuries were different from the trauma because it may be fatal. The purpose of this study was to evaluate the injury type base on the retrograde medical record in the 104 patients from Feb. 1991 to Aug. 1992 in Korea Veterans Hospital. The obtained results were as follows. 1. Among 104 cases, 51 cases(49.0%) were classified as mandibular defects only, and 53 cases (51.0%) were classified as maxillary with mandibular defect (combined). 2. The etiologic factors of injury were gunshot, artillery and grenade or shell: 33 cases, 14cases, and 10 cases respectively in Korea War, 19 cases, 5 cases, and 8 cases respectively in Vietnam War. 3. In 57 cases of mandibular partial defect, the angle area showed the highest frequencies, 18 cases(31.6%). 4. In 42 cases of mandibular segmental defect, the area between the 1st molar and the ascending ramus showed the highest frequencies. 17 cases(40.4%), and almost all cases were unilateral defect (40 cases, 95.0%) 5. Reconstruction method performed for segmental mandibular defect were wire or plate(15 cases, 35.7%) and soft tissue closure only(12 cases, 28.7%), respectively.

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