• Title/Summary/Keyword: 골신장

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DISTRACTION OSTEOGENESIS OF THE MIDFACE WITH A RIGID EXTERNAL DISTRACTOR (RED) (강성 외장형 신장기(Rigid External Distractor)를 이용한 중안면부의 골신장술)

  • Oh , Jung-Hwan;Alexander, Kuebler.;Zoeller, Joachim E.
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.28 no.2
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    • pp.161-164
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    • 2002
  • In recent, distraction osteogenesis has been used to correct skeletal malformations and discrepancies in the craniofacial area. It also seems to be considered as an alternative in the treatment of severe midfacial hypoplasia. There are some types of distractors for midfacial distraction such as subcutaneous distractors and rigid external distractors. We used a rigid external distractor for correction (RED) of craniofacial hypoplasia. Seven patients underwent a midfacial distraction osteogenesis with a rigid external distractor between April 2000 and July 2001. Three patients suffered from Apert's syndrome, three patients from Crouzon's syndrome, and one patient suffered from midfacial hypoplasia due to midfacial radiotheraphy during childhood. On average, the mean distance of distraction was 19.8mm ($10{\sim}25mm$) and the distraction lasted for 24 days. The patients showed no severe complications like infections, optic disturbance, or wrong distraction vectors. One patient complained pain on the site of the occipital fixation of the distractor. In one patient who underwent subtotal craniectomy 3 months before Le Fort III distraction, the distractor was dislocated as the cranial bone was too weak to support the distractor. This report reveals that the application of rigid external distractor and transfacial pull results in an exact control of the distraction vectors and an excellent correction of midfacial hypoplasia without any severe complications.

On the Circumorbital Bone of the Cyprinid Fishes in Korea (한국산 잉어과(Cyprinidae) 어류의 안와환부골(眼窩環部骨)에 대하여)

  • Nam, Myung-Mo;Yang, Hong-Jun
    • Korean Journal of Ichthyology
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    • v.10 no.1
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    • pp.128-138
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    • 1998
  • Comparative studies on the morphological characters of the circumorbital bone were made in order to investigate the phylogenetic relationships of the family Cyprinidae. In this paper, forty four species from Korea and three species of Gobiobotia and Saurogobio dabryi from China were studied. Pungtungia herzi, Pseudopungtungia nigra and Pseudopungtungia tenuicorpus were similar in morphological structure on points of the first infraorbital elongated. In Hemibarbus, the base portion of the opened sensor canal was transformed into a lateral plate in the infraorbital. Microphysogobio was characteristic in that the infraorbital series were large, and had close relationship with Pseudogobio esocinus and Saurogobio dabryi. Gobiobotia were reduced to a bony canal with dermal bone. Culter brevicauda had a short supraorbital. Cyprininae were characterized by larger fourth and fifth infraorbitals. Leuciscinae were divided into two groups: Moroco and Zacco. The former includes Phoxinus phoxinus, Moroco oxycephalus and Moroco kumgangensis, and the latter includes Zacco platypus, Zacco temmincki and Opsariichthys bidens. Moroco group was distinguished from Zacco group in points of having a short supraorbital and a elongated the first infraorbital.

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Reports of mandibular symphysis widening with distraction osteogenesis (견인 골 신장술을 이용한 하악 정중부 확대 치험례)

  • Tae, Ki-Chul;Oh, Sung-Whan;Min, Sung-Ki
    • The korean journal of orthodontics
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    • v.31 no.5 s.88
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    • pp.499-504
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    • 2001
  • Transverse skeletal deficiency is a common clincal problem associated with narrow basal and dentoalveolar bone. The clinical characteristics of transverse deficiency presents with anterior crowding and posterior buccal crossbite. Orthodontic expansion, using lip bumper and functional devices, was recommanded for younger ages. However, expansion of lower anterior area in older Patients is unstable and tends to relapse toward the original dimension. Distraction osteogenesis is a unique form of clincal tissue engineering and biologic process of new bone formation between bone segments that are gradually separately by incremental traction. Distraction osteogenesis was considered that great potential for correcting transverse mandibular deficiencies. In this Paper, a case of treated transverse deficiency patients with distraction osteogenesis using tooth-borne and tooth & bone-borne distractor is presented.

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Convergence study related in development of new intraoral jaw bone distractor in treating dentofacial deformities (악골 기형 치료를 위한 구내형 골신장기 개발에 관련된 융합 연구)

  • Lee, Jae-Gi
    • Journal of the Korea Convergence Society
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    • v.7 no.6
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    • pp.75-80
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    • 2016
  • Distraction osteogenesis is applied to correct mandible or maxilla deformities. Owing to the distractor being away from the skin, it is not aesthetic. Infection can arise due to manual part. And therefore, it is necessary to make the distractor using a new mechanism. 3D software was used for the intraoral distractor modeling. 3D meshes were used to analyze the stress distribution of the distractor was analyzed using Finite element analysis software. This research developed a intraoral distractor for continuous mandible distraction through convergence study. Base on the results, it provide helpful data for future version of the wireless intraoral distractor in other fields of bio and medical engineering.

Tumor Resection and Reconstruction in Periacetabular Single Metastases of Renal Cell Carcinoma - A Case Report - (신장 암의 비구주위 단독 전이 환자에서 종양절제 및 재건술 - 증례 보고 -)

  • Shin, Duk-Seop;Han, Dong-Sung
    • The Journal of the Korean bone and joint tumor society
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    • v.13 no.2
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    • pp.113-118
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    • 2007
  • Surgical treatment of pelvic bone tumors represent one of the most complicated problem in musculoskeletal oncology. Because of three dimensional anatomy of the pelvis, tumors reach huge sizes and the diagnosed late relatively to a similar tumors in extremity. Especially, there are limited reconstruction methods to keep the function of hip joint after resection of periacetabular tumors, and the results of reconstruction is not so promissing. We present one case of periacetabular metastatic tumor from renal cell carcinoma, which was resected with wide margin and reconstructed with composite of pasteurized autogenous bone graft and constrained total hip arthroplasty.

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Distraction osteogenesis in patients with complete cleft lip and palate (완전 구순구개열을 가진 환자에서의 골신장술)

  • Yi, J.K.;Park, C.H.;Na, J.I.;Jeong, J.S.;Koo, H.M.;Eom, M.Y.;Song, M.S.
    • Korean Journal of Cleft Lip And Palate
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    • v.8 no.2
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    • pp.63-70
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    • 2005
  • Patients with cleft lip and palate usually show up maxillary hypoplasia. In these cases, a large amount of maxillary advancement is often needed to correct the severe deformity, but local soft-tissue scars around the maxilla restrict maxillary advancement and increase the relapse rate. Maxillary distraction osteogenesis is an effective method for facial and occlusal improvement in these patients. By gradually lengthening both the bones and the soft tissues, distracted midface can greatly increase postoperative stability and decrease the relapse rate. However, the maxillary extraoral appliances of the early days used were esthetically unappealing as well as difficult for the patient to manage. Recently, more inconspicuous intraoral distraction appliances have been developed and used with success. We acquired favorable result in two patients(bilateral 1 patient and unilateral 1 patient) with severe maxillary hypoplasia secondary to complete cleft lip and palate were treated with midface distraction using internal distractor (Zurich Pediatric Maxillary Distractor, KLS Martin, Tuttlingen, Germany). So, we report our experience with literatures.

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Various Application of Distraction Osteogenesis in Cleft Lip and Palate related Deformities (구순구개열과 관련된 상악골 변형의 치료를 위한 골신장술의 다양한 적용예)

  • Yi Ho;Baek Seung-Hak;Lee Jong-Ho;Choi Jin-Young
    • Korean Journal of Cleft Lip And Palate
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    • v.8 no.1
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    • pp.11-22
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    • 2005
  • There ate anteroposterior$\cdot$vertical maxillary underdevelopment, transverse maxillary deficiency and wide cleft alveolus$\cdot$oroanual fistula among cleft lip ant palate related maxillary deformities. For treatment of these deformities, ones have used conventional treatment methods, there were often unsatisfactory results to patients and operators both. Since llizarov introduced effective technique of bone lengthening and augmentation for a variety of limb defotmities, application of distraction osteogenesis on maxillofacial area has been used to solve those disadvantages of conventional methods. Authors introduced following three cases about use of distraction osteogenesis. The first case is the application of RED(rigid external distraction) II system for the treatment of the anteroposterior$\cdot$vertical maxillary hypoplasia after several times of surgery and end of development in bilateral cleft lip and palate patient. The second case is the application of the USPD(unilateral segmental palatal distraction) for the resolution of the unilateral posterior crossbite and transverse dental arch asymmetry after alveolorraphy in growing unilateral cleft lip and palate patient. The third case is the application of transport distraction osteogenesis far closure of the wide clef alveolus and oroantral fistula in growing bilateral cleft lip and palate patient. There were satisfactory results in these cases. Particularly, in comparison with the decreases of relapse rates, the reduction of the hospitalization time and post-operative discomfort owing to minimal surgical intervention.

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Avascular Necrosis of Bone after Renal Transplantation - Prevalence and Usefulness of Bone SPECT - (신장 이식후에 발생한 무혈관성 골괴사 -발생 빈도 및 골 SPECT의 유용성에 관하여 -)

  • Choi, Yun-Young;Yang, Seoung-Oh;Ryu, Jin-Sook;Moon, Dae-Hyuk;Lee, Hee-Kyung
    • The Korean Journal of Nuclear Medicine
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    • v.29 no.4
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    • pp.504-510
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    • 1995
  • Avascular necrosis(AVN) of bone can be resulted from various causes that distrub vascular supply to bone tissue, including steroid therapy after renal transplantation. In this study, we determine the prevalence of the avascular necrosis of bone after renal transplantation and compare the role of the bone scan, SPECT and MRI. In 301 patients with transplanted kidney, the prevalence of avascular necrosis was deter-mined clinically. Site of bone necrosis was evaluated by clinical symptom, bone scan, SPECT and MRI. Bone scan was done in all patients with AVN. Bone SPECT and MRI were done in six cases; and MRI was done in two cases. The prevalence of AVN was 3.3% (10/301), and the site of AVN was 16 femoral heads in 10 patients (bilateral: 60%) and bilateral calcaneal tuberosity in one patient. Bone scan showed typical AVN (cold area with surrounding hot uptake) in 13 lesions, only hot uptake in three lesions (including two calcaneal tuberosities), decreased uptake in one lesion, and normal in one lesion. Decreased uptake and normal lesion showed an equivacal cold area without surrounding hot uptake on SPECT. A symptomatic patient with positive bone SPECT showed normal finding on MRI. The prevalence of AVN of bone after renal transplantation was 3.3%, and whole body bone scan showed multiple bone involvement. Two symptomatic hip Joints without definite lesion on whole body bone scan or MRI showed cold defect on SPECT. Therefore, we conclude that bone SPECT should be perfomed in a symptomatic patient with negative bone scan or MRI in case with high risk of AVN after renal transplantation.

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