Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
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MODIFIED LEFORT III OSTEOTOMY FOR MANDIBULAR PROGNATHISM WITH MAXILLARY-MALAR DEFICIENCY : A CASE REPORT

변형 LeFort III 골절단술을 이용한 중안면 성장부전을 동반한 하악전돌증의 치험례

  • Kim, Moon-Soo (Department of Oral & Maxillofacial Surgery, Oral Biology Research Institute, College of Dentistry, Chosun University) ;
  • Kim, Su-Gwan (Department of Oral & Maxillofacial Surgery, Oral Biology Research Institute, College of Dentistry, Chosun University) ;
  • Ryu, Chong-Hoy (Department of Oral & Maxillofacial Surgery, Oral Biology Research Institute, College of Dentistry, Chosun University)
  • 김문수 (조선대학교 치과대학 구강악안면외과학교실, 구강생물연구소) ;
  • 김수관 (조선대학교 치과대학 구강악안면외과학교실, 구강생물연구소) ;
  • 류종희 (조선대학교 치과대학 구강악안면외과학교실, 구강생물연구소)
  • Published : 2001.04.30
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Abstract

Maxillary-malar deficiency is the most frequently occurring midface dentofacial deformity. Clinicaly patients with maxillary-malar deficiency exhibit malar and infraorbital rim deficiency and class III malocclusion. For treatment of these deformities, modified LeFort III osteotomy have been used. Modified LeFort III osteotomy advances maxilla with orbital rims and zygomatic bone anteroposteriorly. This is a case of patient who had severe mandibular prognthism with midface deformity. We performed modified LeFort III osteotomy for maxillary-malar advancement and simultaneous bilateral sagittal split ramus osteotomy for mandibular prognathism and autogenous iliac bone graft.

본 교실에서는 조선대학교 구강악안면외과에 내원한 중안면성장부전을 동반한 하악전돌증소견을 보이는 22세 여자 환자의 치료에 있어서 변형 LeFort III 골절단술과 양측 하악지 시상분할골절단술 그리고 자가 장골 이식술을 동시에 시행하여 기능적 심미적으로 만족할 만한 결과를 얻었기에 보고하는 바이다.

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