A STATISTIC STUDY ON THE ORTHOGNATHIC SURGERY VIA SAGITTAL SPLIT RAMAL OSTEOTOMY

시상분할골절단술(矢狀分割骨切斷術)에 의(依)한 악교정술(顎矯正術)의 통계학적(統計學的) 연구(硏究)

  • Lee, Hyun-Sang (Dept. of Dentistry, Graduate School, Chonbuk National University) ;
  • Jin, Woo-Jeong (Dept. of Dentistry, Graduate School, Chonbuk National University) ;
  • Lee, Jun-Rye (Dept. of Dentistry, Graduate School, Chonbuk National University) ;
  • Shin, Hyo-Keun (Dept. of Dentistry, Graduate School, Chonbuk National University) ;
  • Kim, Oh-Hwan (Dept. of Dentistry, Graduate School, Chonbuk National University)
  • 이현상 (전북대학교 치과대학 구강악안면외과학교실) ;
  • 진우정 (전북대학교 치과대학 구강악안면외과학교실) ;
  • 이준례 (전북대학교 치과대학 구강악안면외과학교실) ;
  • 신효근 (전북대학교 치과대학 구강악안면외과학교실) ;
  • 김오환 (전북대학교 치과대학 구강악안면외과학교실)
  • Published : 1997.06.30

Abstract

Recently, combined with social complexity, increment of medical demand and supply and the change of esthetic category, admission and operation of the patients of facial deformity have been changed with annual change. This study was conducted in the concept of helping the overall character of orthognathic surgery in future understood and being an important index in the establishment of better treatment course, through the patient, on whom was operated orthognathic surgery via sagittal split ramal osteotomy in our Dept. of Oral & Maxillofacial Surgery, Chonbuk National University Hospital from 1991. 1. 1 to 1995. 12. 31. The results were obtained as follows. 1. The ratio of male to female was 1 : 1.33 and the ages between 16 and 25 year was 73.6%, and the mean age was 20.4 years. 2. The ratio of setback amount between 6 to 15mm was 84.6% and the advancement amount between 1 to 10mm was 89% and the mean amount of movement was 9.0mm in setback, and 3.6mm in advancement. 3. After removal of maxillomandibular fixation(MMF), the distinction of sex was not statistically significant in ROM. 4. The ROM following methods of fixation was statistically significant in 3rd(P<0.05), 8th, and 12th week(each P<0.01), with faster rehabilitation in rigid fixation which had shorter MMF period. 5. The rehabilitation of ROM following the operation methods was statistically significant in 1st(P<0.05), 2nd, 3rd, 4th, 6th, 8th, and 12th week(each P<0.01) with faster rehabilitation in the case of SSRO than Lefort I / SSRO (Two jaw surgery). 6. The rehabilitation of ROM following directions of mandibular movement did not manifest a statistically significant difference in both setback and advancement.

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