대한두개안면성형외과학회지 (Archives of Craniofacial Surgery)
- 제14권2호
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- Pages.119-123
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- 2013
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- 2287-1152(pISSN)
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- 2287-5603(eISSN)
DOI QR Code
정복 시기가 지난 안면골 골절의 수술적 교정
Delayed Reduction of Facial Bone Fractures
- 이규섭 (충남대학교 의학전문대학원 성형외과학교실) ;
- 박재범 (충남대학교 의학전문대학원 성형외과학교실) ;
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송승한
(충남대학교 의학전문대학원 성형외과학교실) ;
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오상하
(충남대학교 의학전문대학원 성형외과학교실) ;
- 강낙헌 (충남대학교 의학전문대학원 성형외과학교실)
- Lee, Kyu-Seop (Department of Plastic and Reconstructive Surgery, Chungnam National University School of Medicine) ;
- Park, Jae Beom (Department of Plastic and Reconstructive Surgery, Chungnam National University School of Medicine) ;
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Song, Seung Han
(Department of Plastic and Reconstructive Surgery, Chungnam National University School of Medicine) ;
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Oh, Sang Ha
(Department of Plastic and Reconstructive Surgery, Chungnam National University School of Medicine) ;
- Kang, Nak Heon (Department of Plastic and Reconstructive Surgery, Chungnam National University School of Medicine)
- 투고 : 2013.09.03
- 심사 : 2013.09.09
- 발행 : 2013.10.09
초록
Except for special situations, it is generally agreed that best results in the treatment of facial fractures is expected if reduction is done within the first 2 or 3 weeks after injury. We reduced facial bone fractures at 4 to 7 weeks after trauma. A 44-year-old female patient underwent open reduction for her right zygomaticomaxillary complex fracture at 7 weeks after injury. A 59-year-old female patient underwent surgery for the right mandible body and left parasymphysis fractures at 4 weeks after injury. Using traditional approaches, granulation tissue and callus were removed from the fracture sites, and malunited fracture lines were separated by a small osteotome. We reduced the displaced fractured zygoma and mandible to their normal anatomical positions and fixed them using titanium plates. No complications such as asymmetry, malunion, malocclusion, or trismus were seen. Unfavorable asymmetric facial contours were corrected, and we obtained good occlusion with favorable bony alignment. The functional and aesthetic outcomes were satisfactory. Through removal the callus and limited osteotomy, a successful approach to the previously fractured line was possible, and an exact correction with symmetry was obtained. This method can be a good option for obtaining good mobility and clinical results in treating delayed facial bone fractures.