• Maxillofacial Plastic and Reconstructive Surgery
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• v.34 no.5
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• pp.343-348
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• 2012

Treatment of hemifacial atrophy is a challenge for oral & maxillofacial surgeons. The surgical approach basically focused on skeletal correction so that the overlying soft tissues can be improved by the osseous change of the skeleton. However, the treatment ends up with insufficient soft tissue mophology in most cases even after skeletal correction. Therefore comprehensive hard and soft tissue reconstruction is needed for treating the hemifacial atrophy. In this case report, we experienced a successful result after combined orthognathic and microvascular adipofascial flap reconstruction for hemifacial atrophy patient.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.12 no.2
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• pp.34-40
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• 1990

The purpose of this experiment was to study the histologic changes of submabdibular glands of which ducts were cut and ligated. In A-Group of 4 dogs, the right submandibular ducts were intact as control, and ducts were ligated and the left submandibular ducts were cut. The submandibular glands were studied histologically after 2, 5, 8, and 12 weeks. The results were as follows : 1. The submandibular glands of which ducts were found as normal as control submand ibular glands. 2. The submandibular glands of which ducts were ligated were atrophied. 3. The cut submandibular ducts did not cause histologically atrophic changes on submandibular glands until 12 weeks.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.13 no.1
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• pp.100-103
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• 1991

In the treatment of mandibular prognathism with concomitant features of narrow alar base and some paranasal deficiency, simultaneous paranasal augmentation for the additional esthetic effect can be considered, if it is determined to correct the mandibular prominence and class III by a mandibular set-back. Alloplastic augmentation has several advantages upon the autogenous means in the respect of dimensional stability and simplicity of operation. This is a case report of silastic paranasal augmentation performed simultaneously with mandibular set-back surgery which has a period of 15 months of follow-up postoperatively.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.16 no.2
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• pp.157-161
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• 1994

A 14-year-old male patient was referred to us for evaluation of Right TMJ clicking sound and mandibular deviation during mouth opening. On examinaaation, protrusion and lateral excursion was also restricted. Radiographs showed hook-like curved elongation of Right coronoid process with limitation o right condylar translation. His past medical and dental history was noncontributory. This patient underwent an extraoral coronoidectomy and the specimen revealed coronoid process malformation mimicking condylar head. Microcoically, the specimen discloses mature bony trabeculae. At postoperative 5 days, physical therapy was instituted. At present, this patient could open his mouth well with any clicking sound and mandibular deviation. The asymmetric face of this patient is expectated to be corrected by periodic observation and remained growth porential. If not to be corrected, orthognathic surgery will be done.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.20 no.3
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• pp.246-249
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• 1998

With the recent progress of microsurgical techniques, radial forearm free flap has an established place in oral reconstruction. Providing thin, soft and pliable skin with a large and constant vascular pedicle, this flap is optimal for intraoral reconstruction. One of the disadvantages of the flap is donor site morbidity, therefore various methods can be used to reduce it. A male complained of palatal and retromolar area mass with ulceration, which was diagnosed as squamous cell carcinoma. He also complained of discomfort and mouth opening limitation, attributed to the location and characteristics of the mass. Because of mouth opening limitation, mandibular swing approach was performed to allow for the surgical approach to the mass. After the surgical excison of the lesion, the intraoral defect was successfully reconstructed with radial forearm free flap.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.11 no.2
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• pp.67-73
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• 1989

Sturge - Weber Syndrome is a congenital disorder and characterized by facial hemangioma following one or more divisions of the trigeminal nerve, epilepsy, mental retardation, contralateral hemiplegia, occlular involvement, gingival involvement. A 34 year old Korean man, a 25 year old Korean woman and a 48 year old Korean woman were found to have red - purple colored pigmentation on the hemifacial area and upper oral mucosal area.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.13 no.3
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• pp.324-331
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• 1991

Ocular injuries often accompany midfacial trauma Blindness related to indirect optic nerve injury in midfacial fractures is an uncommon and usually permanent complication. Opic nerve blindness is secondary to an indirect optic nerve injury due to the skeletal distortion that occurs in a facial fracture and almost all are caused by frontal, nasoethmoido-frontal or Le Fort III type fractures. When the loss of vision following midfacial fractures is complete and immediate, the prognosis is poor in spite of treatment. Computed tomography revealed compressin of the optic nerve by bony fragments. And so if injury to the optic nerve is suspected, a CT-scan must be performed and massive steroid therapy must be started as soon as possible. Surgery must be performed if there are hematoma or bony fragments injuring the nerve. The following report concerns two patients who suffered immediate and total loss of vision due to a midfacial fracture with no improvement after massive steroid therapy and surgial decompression.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.20 no.4
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• pp.291-295
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• 1998

Intravenous anesthesia was compared with inhalation anesthesia in 20 patients of oral and maxillofacial surgery. The patients were randomly assigned to study in two treatment groups. 20 patients were injected ketamine and propofol. 20 patients were administered Enflurane. The respond of patients consciousness and general recovery condition of the two groups were compared. Intravenous anesthesia group were awake significantly faster without complications such as nause, vomiting, and agitation after operation than inhalation anesthesia group. Full recovery time of intravenous anesthesia group was significantly 3 times less than inhalation anesthesia group. The authors conclude that intravenous anesthesia is a practical technique for oral and maxillofacial surgery patients undergoing and may be preferable to intravenous anesthesia because of the significantly short of recovery time without complications.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.15 no.4
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• pp.317-321
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• 1993

Two patients with maxillary developmental deficiency who have previously undergone cheiloplasty and palatoplasty were operated on by simultaneous two jaw surgery and maxillary advancement surgery respectively. And the following results were obtained. 1. After the operation, maxilla shifted superiorly, and then inferiorly without noticible posterior relapse. 2. Postoperative mandibular relapse to the anterior direction was evident in both cases. 3. It is highly suggested that definitive measures to enhance postoperative stability in orthognathic surgery on the cleft lip and palate patients be developed.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.11 no.2
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• pp.87-95
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• 1989

The therapeutic methods and follow - up prognosis of subcondylar fractures in adults have always been sources of controversy. To improve the therepeutic results in subcondylar fractures with displacement, and especially, the bicondylar ones, the auther employ the surgical reduction using of sagittal split and oblique subcondylar osteotomy. This report is illustrated by six clinical cases.