Maxillofacial Plastic and Reconstructive Surgery

  • 제27권6호
  • /
  • Pages.545-551
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  • 2005
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  • 2288-8101(pISSN)
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  • 2288-8586(eISSN)
대한악안면성형재건외과학회 (Korean Association of Maxillofacial Plastic and Reconstructive Surgeons)
권호 표지

하악골 전돌증 환자에서 하악지 시상분할골절단술후 금속고정판의 조기제거 및 기능운동이 턱관절장애에 미치는 영향

THE EFFECT OF EARLY REMOVAL OF THE FIXATION PLATES AND ACTIVE MOUTH OPENING EXERCISE ON THE TEMPOROMANDIBULAR DYSFUNCTION AFTER MANDIBULAR SETBACK SURGERY

  • 전준혁 (경희대학교 치과대학 구강악안면외과학교실) ;
  • 김여갑 (경희대학교 치과대학 구강악안면외과학교실) ;
  • 류동목 (경희대학교 치과대학 구강악안면외과학교실) ;
  • 이백수 (경희대학교 치과대학 구강악안면외과학교실) ;
  • 오정환 (경희대학교 치과대학 구강악안면외과학교실) ;
  • 권용대 (경희대학교 치과대학 구강악안면외과학교실) ;
  • 윤병욱 (경희대학교 치과대학 구강악안면외과학교실)
  • Jeon, Joon-Hyuk (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Kyunghee University) ;
  • Kim, Yeo-Gab (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Kyunghee University) ;
  • Ryu, Dong-Mok (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Kyunghee University) ;
  • Lee, Baek-Soo (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Kyunghee University) ;
  • Oh, Jung-Hwan (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Kyunghee University) ;
  • Kwon, Yong-Dae (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Kyunghee University) ;
  • Yoon, Byung-Wook (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Kyunghee University)
  • 발행 : 2005.12.31
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초록

Purpose: The effect of orthognathic surgery on the temporomandibular dysfunction has been controversial. The purpose of this study is to prove statistically that early removal of fixation plate at postoperative 2 weeks with active exercise of mouth opening could relieve preoperative temporomandibular dysfunction and reposition of temporomandibular joint. Patients and Methods: All 28 subject patients underwent mandibular setback with BSSRO in Kyunghee medical center by one surgeon. The fixation plates used for rigid fixation were removed at postoperative 2 weeks and we had the patients excercise active mouth opening with intermaxillary rubber rings for the guiding proper postoperative occlusion. Temporomandibular symptoms were checked and radiographs were taken before surgery, within a month after surgery, six to twelve months after surgery respectively. Results: The temporomandibular dysfunction symptoms were relieved after the surgery and the condyle was displaced inferior-posteriorly immediate after surgery and repositioned toward its original position during follow-up periods. Conculusion: Orthognathic surgery may benefit temporomandibular joint dysfunction by obtaining a postoperative stable occlusion and more physiologic neuromuscular function. The early removal of fixation plates after BSSRO could reposition the temporomandibular joint to physiologic position and relieve the symptoms of temporomandibular dysfunction by permitting movement of proximal segment.

키워드

참고문헌

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