Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
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TREATMENT OF TRISMUS BY CORONOIDECTOMY

오훼돌기 절제술에 의한 개구장애의 치료

  • Yoon, Hyun-Joong (Div. of Oral & Maxillofacial Surgery, Dept. of Dentistry, College of Medicine, The Catholic University of Korea) ;
  • Lee, Sang-Hwa (Div. of Oral & Maxillofacial Surgery, Dept. of Dentistry, College of Medicine, The Catholic University of Korea) ;
  • Park, Chul-Hong (Div. of Oral & Maxillofacial Surgery, Dept. of Dentistry, College of Medicine, The Catholic University of Korea)
  • 윤현중 (카톨릭대학교 의과대학 치과학교실 구강악안면외과) ;
  • 이상화 (카톨릭대학교 의과대학 치과학교실 구강악안면외과) ;
  • 박철홍 (카톨릭대학교 의과대학 치과학교실 구강악안면외과)
  • Published : 2001.08.30
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Abstract

There are many causes of trismus. Aetiology can be roughly divided into muscle spasm, mechanical interference, extracapsular ankylosis, intracapsular ankylosis. Trismus caused by mechanical interference between postero-lateral wall of zygoma-maxillary complex and coronoid process following reduction of fractured facial bone is rare. Especially on maxillary bone fracture, when we faced the trismus following removal of intermaxillary fixation, we got used to solve that problem by physical exercise. We obtained good results by coronoidectomy on patients with limited mouth opening who were referred from department of plastic surgery, St. Marys' hospital, the Catholic university of Korea. We report our experience with literature review.

본 교실에서는 외상에 의한 발생한 악안면 골절의 정복 후 오훼돌기와 관골 상악 복합체 후외측벽 사이의 기계적 간섭에 의해 발생한 2명의 개구장애 환자에서 호훼돌기 절제술과 하악운동에 대한 물리치료술 후 좋은 결과를 얻었기에 문헌고찰과 함께 보고하는 바이다.

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