• 제목/요약/키워드: 대한악안면성형재건외과학회

검색결과 1,661건 처리시간 0.022초

Extensive Adenomatoid Odontogenic Tumor of the Maxilla: A Case Report of Conservative Surgical Excision and Orthodontic Alignment of Impacted Canine

  • Moon, Jee-Won
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • 제36권4호
    • /
    • pp.173-177
    • /
    • 2014
  • The present report describe the surgical therapy, clinical course, orthodontic treatment and morphological characteristics of an adenomatoid odontogenic tumor in the maxilla of an 11-year-old patient. The cystic tumor filled the maxillary sinus and involved a tooth. Marsupialization was accompanied by partial enucleation and applied traction to the affected tooth by a fixed orthodontic appliance. Healing was uneventful and no local recurrence was observed during a 1-year period of follow-up control.

Correction of Lip Canting Using Bioabsorbables during Orthognathic Surgery

  • Park, Young-Wook
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • 제36권4호
    • /
    • pp.178-183
    • /
    • 2014
  • Lip canting is associated with facial asymmetry, and is one of the most challenging problems in surgical correction of facial deformities. The author corrected lip canting using bioabsorbable devices during orthognathic surgery. Soft tissue suspension procedures were performed on four patients with facial asymmetry. Lip lines improved for all patients. Over an observation period of five years, no complications were noted, nor did any late relapse develop. Furthermore, as time past, the effect of the Endotine suspension procedure increased probably due to induction of fibrosis on surrounding soft tissues.

Immunomodulation for maxillofacial reconstructive surgery

  • Kim, Seong-Gon
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • 제42권
    • /
    • pp.5.1-5.9
    • /
    • 2020
  • Immunomodulation is a technique for the modulation of immune responses against graft material to improve surgical success rates. The main target cell for the immunomodulation is a macrophage because it is the reaction site of the graft and controls the healing process. Macrophages can be classified into M1 and M2 types. Most immunomodulation techniques focus on the rapid differentiation of M2-type macrophage. An M2 inducer, 4-hexylresorcinol, has been recently identified and is used for bone grafts and dental implant coatings.

악성종양과 감별이 어려웠던 악안면 영역의 감염질환에 대한 치험례 (MAXILLOFACIAL INFECTIONS MASQUERADING AS MALIGNANT TUMOR ; CASE REPORTS)

  • 서재훈;여환호;김영균
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • 제17권3호
    • /
    • pp.302-308
    • /
    • 1995
  • It is very difficult to differentiate the malignant tumor from the maxillofacial infections that have unclear cause, severe indurated swelling, pain and nonresponsiveness to antibioitic treatment and incision and drainage. Incisional biopsy, CT, and MRI examination may not distinguish between infection and a malignant tumors. And then, the clinicians can make a mistake that they perform a unnecessary radical surgery because of inaccurate diagnosis. We present three case reports of maxillofacial infectious disease with diagnosis process, treatment and differential diagnosis. The infectious disease were not resolved with antibiotic and surgical drainage. The progression of clinical sign and radiographic, indings of these disease were masqueraded as malignant tumors.

  • PDF

안면신경마비 환자의 재건에 관한 증례보고 (A CASE REPORT OF RECONSTRUCTION OF FACIAL PARALYZED PATIENT)

  • 최문기
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • 제27권3호
    • /
    • pp.288-297
    • /
    • 2005
  • Rehabilitation of the paralyzed face as a result of trauma or surgery remains a daunting task. Complete restoration of emotionally driven symmetric facial motion is still unobtainable, but current techniques have enhanced our ability to improve this emotionally traumatic deficit. Problems of mass movement and synkinesis still plague even the best reconstructions. The reconstructive techniques used still represent a compromise between obtainable symmetry and motion at the expense of donor site deficits, but current techniques continue to refine and limit this morbidity. In chronically paralyzed face, direct nerve anastomosis, nerve graft, or microvascular-muscle graft is not always possible. In this case, regional muscle transposition is tried to reanimate the eyelid and lower face. Regional muscle includes maseeter muscle, temporalis muscle and anterior belly of the digastric muscle. Temporalis muscle is preferred because it is long, flat, pliable and wide-motion of excursion. In order to reanimate the upper and lower eyelid, Upper eyelid Gold weight implantion and lower eyelid shortening and tightening is mainly used recently, because this method is very simple, easy and reliable.

유리전완요골판(Free Radial Forearm Flap)을 이용한 구강안면부 결손의 재건 ; 전완요골판 12례의 경험 (THE OROFACIAL RECONSTRUCTION USING FREE RADIAL FOREARM FLAP ; THE EXPERIENCE OF 12 CONSECUTIVE FOREARM FLAPS)

  • 이종호;서구종
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • 제13권3호
    • /
    • pp.305-318
    • /
    • 1991
  • Reconstructive techniques of orofacial defects are very varied. In recent years, myocutaneous flaps, in particular the pectoralis major or latissimus doris myocutaneous flap have achieved popularity. In 1983, Soutar et. al. used the forearm free flap that had been developed in in China and popularised the radial forearm fasciocutaneous flap to reconstruct defects in the orofacial region. This paper presents the authors experience with 10 consecutive patients in which 12 flaps were used either as a fascioncutaneous flap or as a composite flap incorporating part of the radius. Some literatures were reviewed and the clinical results were discussed.

  • PDF

전남대학교병원 응급실에 내원한 구강악안면외과 환자에 대한 임상적 연구 (A CLINICAL STUDY ON ORAL & MAXILLOFACIAL PATIENTS VISITING CHONNAM UNIV-HOSPITAL EMERGENCY ROOM)

  • 조규승;김기영;이성훈;박홍주;소광섭;조용기;오희균;유선열
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • 제19권4호
    • /
    • pp.435-446
    • /
    • 1997
  • 본 교실에서는 1992년 1월 1일부터 1996년 12월 31일 까지 최근 5년간 전남대학교병원 응급실에 내원한 구강악안면외과 환자에 대한 실태조사를 시행하여 다음과 같은 결과를 얻었다. 남녀의 성비는 2.5 : 1의 비율로 남성에서 호발하였으며, 하발연령층은 20대, 30대, 9세 이하의 순이었다. 응급실에 내원한 환자의 수는 9월과 10월에 11%로 가장 많았다. 응급실에 내원한 원인으로는 교통사고, 추락사고, 구타사고 순이었다. 손상내용은 악안면열상, 악안면골절, 치아손상 순이었다. 악안면골절은 하악골 단독골절이 가장 많았으며 관골-상악골 복합골절, 하악골-상악골 복합골절 순이었으며 하악골 골절시 정중부, 과두부, 우각부 순으로 발생하였다. 저녁 6시부터 새벽 3시 사이에 응급실에 내원한 환자가 전체의 57%를 차지하였다. 주소 발생에서 응급실 내원까지는 8시간에서 12시간 사이가 가장 많았다. 이상의 결과는 구강악안면외과 영역의 응급환자가 비교적 많이 발생하고 있으므로 이를 전담할 수 있는 구강악안면외과 분양가 시급히 개설되어야 할 것임을 시사하였다.

  • PDF

구강악안면외과 영역에서의 MIDFACIAL DEGLOVING APPROACH의 유용성 (USEFULNESS OF MIDFACIAL DEGLOVING APPROACH IN ORAL & MAXILLOFACIAL REGION)

  • 차인호;윤현중;이의웅
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • 제20권3호
    • /
    • pp.214-216
    • /
    • 1998
  • Midfacial degloving approach의 장점으로는 비강, 비중격, 상악동, 사골동, 접형골동, 비인두 부위 병소의 접근에 좋은 시야를 제공하며, 수술방법이 기존의 방법에 비해 수월하고, 두피관상 절개법, 측두부 절개법, 구개부 절개법과 함께 사용하여 수술시야를 넓힐 수 있으며, 안면부에 나타나는 흉터가 없어 심미적으로 만족스러우며 특히, Keloid 체질에서 유용하다는 것을 들 수 있다. 이에 저자 들은 구강악안면외과 영역에서도 중안면부 외상, 두개안면부 기형 처치, 상악골 절제술을 요하는 경우, 상악골과 비골의 동시 수술을 요하는 경우 등에 midfacial degloving approach가 유용한 수술 접근 방법으로 사료되었다.

  • PDF