Maxillofacial Plastic and Reconstructive Surgery

Korean Association of Maxillofacial Plastic and Reconstructive Surgeons (대한악안면성형재건외과학회)
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RESORBABLE PLATES FOR THE FIXATION OF MANDIBULAR FRACTURES: CASE REPORTS AND REVIEW OF THE LITERATURE

하악골 골절 치료시 생체 흡수성 고정판 사용: 증례 보고 및 문헌고찰

  • You, Jae-Seek (Department of Oral and Maxillofacial Surgery, College of Dentistry, Chosun University) ;
  • Kim, Su-Gwan (Department of Oral and Maxillofacial Surgery, College of Dentistry, Chosun University) ;
  • Kim, Hak-Kyun (Department of Oral and Maxillofacial Surgery, College of Dentistry, Chosun University) ;
  • Moon, Seong-Yong (Department of Oral and Maxillofacial Surgery, College of Dentistry, Chosun University)
  • 유지색 (조선대학교 치과대학 구강악안면외과학교실) ;
  • 김수관 (조선대학교 치과대학 구강악안면외과학교실) ;
  • 김학균 (조선대학교 치과대학 구강악안면외과학교실) ;
  • 문성용 (조선대학교 치과대학 구강악안면외과학교실)
  • Published : 2008.03.31
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Abstract

Fracture of mandible is the most frequent fracture among many types of maxillofacial fracture, and reduction of mandible fracture is performed using various methods of treatment to maintain bonding strength of fractured bone. Among these treatment of bone fracture, a semirigid fixation method which can reduce the period of intermaxillary fixation using metal mini plate under general or local anesthesia is spotlighted these days. The metal mini plate used during this semirigid fixation procedure is Titanium which is bio-inactive one and was used widely, but because the side effect of fracture reduction using titanium have been demonstrated recently, fracture reduction using biodegradable plate become to attract people's attention. The purpose of this study was to report the clinical case and review of the literature with the reduction of mandible fracture using biodegradable plate.

본 증례에서는 자기강화 흡수성 고정판을 사용하여 하악골 골절을 정복하였다. 하악각 부위와 정중부, 부정중부, 하악지 부위의 골절이 발생하여 직경 2.0mm의 4-hole plate와 직경 2.4mm의 6-hole plate를 1개 혹은 2개를 사용하였다. 발생한 합병증에는 4명의 환자에 있어서 감각저하 이외에는 어떠한 합병증도 관찰되지 않았다. 본 연구의 추적 조사 기간이 너무 짧고 환자 수가 너무 적어 생체 흡수성 고정판을 사용한 골절 정복의 장기간의 효과를 결정할 수 없지만 하악골 골절의 초기 골 치유를 가능하게 하는 적절한 견고성과 안정성을 보여주었다.

Keywords

References

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