Maxillofacial Plastic and Reconstructive Surgery

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

CLINICAL EVALUATIONS OF INTRAORAL APPROACH ON THE MANDIBULAR ANGLE FRACTURES

하악 우각부 골절의 구내접근법에 대한 임상적 평가

  • Bang, Man-Hyeok (Department of Oral & Maxillofacial Surgery, School of Dentistry, Wonkwang University) ;
  • Lee, Dong-Keun (Department of Oral & Maxillofacial Surgery, School of Dentistry, Wonkwang University) ;
  • Min, Seung-Ki (Department of Oral & Maxillofacial Surgery, School of Dentistry, Wonkwang University) ;
  • Chang, Dong-Ho (Department of Oral & Maxillofacial Surgery, School of Dentistry, Wonkwang University) ;
  • Jin, Kuk-Beom (Department of Oral & Maxillofacial Surgery, School of Dentistry, Wonkwang University) ;
  • Park, Kyeong-Ok (Department of Oral & Maxillofacial Surgery, School of Dentistry, Wonkwang University)
  • 방만혁 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 이동근 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 민승기 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 장동호 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 진국범 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 박경옥 (원광대학교 치과대학 구강악안면외과학교실)
  • Published : 1994.03.31
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Abstract

Recently, we have used internal fixation with titanium miniplate which introduced by Champy in 1976 in facial bone fractures. In cases of mandibular fractures, particulary mandibular angle fractures, we usually underwent the open reduction extraorally. But extraoral approaches may leave scars and put the facial nerve at greater risk. So, we had undergone the intraoral approaches in 31 patients of mandibular angle fractures (male : 29, female : 2). These patients visited in Wonkwang university hospital from October 1991 to June 1993. We got easy operation time as average 20 minutes than extraoral approach. And reduced the postoperative nerve injury(14.2%), but postoperative infection is 6.1% nearly as same as extraoral approach. TMJ problems after intraoral open reduction was similar to extraoral approaches.

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