변형 구개 유경 판막을 이용만 상하악 전방골 본절 성형술 : 증례 보고

Anterior segmental maxillary osteotomy using a modified Couper's method with circumcrevicular incision : A Case Report

  • 박영주 (한림대학교 의과대학 강남성심병원 구강악안면외과학 교실) ;
  • 남정훈 (한림대학교 의과대학 강남성심병원 구강악안면외과학 교실) ;
  • 연병무 (한림대학교 의과대학 강남성심병원 구강악안면외과학 교실) ;
  • 송준호 (한림대학교 의과대학 강남성심병원 구강악안면외과학 교실) ;
  • 노경록 (한림대학교 의과대학 강남성심병원 구강악안면외과학 교실) ;
  • 방은오 (한림대학교 의과대학 강남성심병원 구강악안면외과학 교실) ;
  • 김다영 (한림대학교 의과대학 강남성심병원 구강악안면외과학 교실) ;
  • 김준현 (한림대학교 의과대학 강남성심병원 구강악안면외과학 교실) ;
  • 안장훈 (한림대학교 의과대학 강남성심병원 구강악안면외과학 교실) ;
  • 강태인 (한림대학교 의과대학 강남성심병원 구강악안면외과학 교실)
  • Park, Young-Ju (Department of Oral and Maxillofacial Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Nam, Jeong-Hun (Department of Oral and Maxillofacial Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Yeon, Byoung-Moo (Department of Oral and Maxillofacial Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Song, Jun-Ho (Department of Oral and Maxillofacial Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Noh, Kyung-Lok (Department of Oral and Maxillofacial Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Pang, Eun-O (Department of Oral and Maxillofacial Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Kim, Da-Young (Department of Oral and Maxillofacial Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Kim, Jun-Hyeon (Department of Oral and Maxillofacial Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Ahn, Jang-Hun (Department of Oral and Maxillofacial Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University) ;
  • Gang, Tae-In (Department of Oral and Maxillofacial Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University)
  • 발행 : 2009.06.01

초록

This article presents a modified palatal pedicled incision design in anterior segmental maxillary osteotomy. This method included the circumcrevicular incisions and two vertical relaxing incisions. Then, it is different from the Couper's method with vestibular horizontal incision and other anterior segmental osteotomy techniques. The main advantages of this method are an improved visibility of surgical field and favorable preservation of palatal pedicle. A patient who had been operated by anterior segmental maxillary and mandibular osteotomy without pre operative orthodontic treatment was analyzed for advantages and complications during the intraoperative and early post operative period. There are no specific major complications such as infection, gingival recession and dehiscence. And the patient had a pleasing esthetic facial appearance.

키워드

참고문헌

  1. Rosenqist B. Anterior segmental maxillary osteotomy, J Oral Maxillofac Surg 1993;22:210-213. https://doi.org/10.1016/S0901-5027(05)80637-X
  2. Bruce N. Epker. Dentofacial deformities (2nd edition), Mosby-Year Book. Inc. U.S.A. 1996;174-699.
  3. Miloro M. Principles of oral and maxilofacial surgery (2nd edition), BC Decker Inc. London 2004;1193-1196.
  4. Tomizawa M. Evaluation by patients of surgical orthodontic correction of class III malocdusion, J Oral Surg 1981;39:590-596. https://doi.org/10.1016/0030-4220(75)90201-7
  5. Proffit WR. Surgical-Orthodontic treatment, Mosby-Year Book. Inc. U.S.A. 1990;285-289.
  6. Thiesen FC, Guernsey LH. Postoperative sequelae after anterior segmental osteotomies, Oral Surg 1976;41:139-151. https://doi.org/10.1016/0030-4220(76)90225-5
  7. Park JU, Hwang YS. Evaluation of the soft and hard Tissue Changes After Anterior Segmental Osteotomy on the Maxilla and Mandible, J Oral Maxillofac Surg 2008;66:98-103.
  8. Hua Z. Anterior segmental maxillary osteotomy (ASMO), Zhongua Kou Qiang Yi Xue Za Zhi 1997;32:118-20.