• Title/Summary/Keyword: 하악 재건

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ANGIOMYOMA OF THE LINGUAL ASPECT OF THE MANDIBULAR SECOND MOLAR: A CASE REPORT (하악 구치부 설측면에 발생한 혈관평활근종의 치험 1례)

  • Choi, Mun-Kyung;Yoon, Kyu-Ho;Park, Kwan-Soo;Cheong, Jeong-Kwon;Shin, Jae-Myung;Baik, Jee-Sun;Park, Ji-Hyun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.30 no.5
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    • pp.500-504
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    • 2008
  • Angiomyoma is the vascular type of leiomyoma that the tumor cells are originated from vascular smooth muscle cells. It's frequently found in the subcutaneous tissues of the lower extremities. Such case of an angiomyoma within the oral cavity is rarely found. From a series of 7748 smooth muscle tumors of all types, only 0.06% were found in the oral cavity. This is a rare case of a young woman appeared with oral angiomyoma located in the left mandibular posterior region with plain radiograph, CT and histologic review.

RECURRENT CEMENTOBLASTOMA IN LEFT MANDIBLE : A CASE REPORT (좌측 하악 구치부에 발생한 재발성 백악모세포종의 치험례)

  • Jung, Jun-Ho;Kim, Yeo-Gab;Lee, Baek-Soo;Kwon, Yong-Dae;Choi, Byung-Jun;Kim, Young-Ran
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.31 no.4
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    • pp.349-352
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    • 2009
  • Cementoblastoma is a benign ectomesenchymal odontogenic neoplasm that forms a mass of cementum or cementum-like tissue continuous with the tooth root. Cementoblastoma represents 1% to 6.2% of all odontogenic tumors, and occurs more than 75% arise in the mandible, with most cases arising in the molar and premolar regions. About 75% arises before the age of 30. Radiographically, it appears as a radiopaque mass with a thin radiolucent rim attached to the roots of a tooth. The recurrence rate is 37% in the current study and cortical expansion and perforation of the cortex are common findings in lesions that subsequently recurred. It is apparent that recurrence rate depends largely on the completeness of removal than any other factor. Here we present a 20 year old, female case of an unusual multiple recurrent cementoblastoma around a previous lesion which had been surgically excised 2 years ago.

REMODELLING CHANGES OF THE CHIN ADVANCED BY GENIOPLASTY (이부골성형으로 전방이동된 하악이부의 골개조성 변화)

  • Han, Sei-Woo;Kim, Myung-Rae;Kim, Jae-Hwa;Bae, Jong-Go
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.27 no.1
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    • pp.48-54
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    • 2005
  • This is to evaluate the postoperative cephalometric changes of the chin advanced by the genioplasty. Thirty-eight patients who underwent advancement genioplasties at Ewha Womans University Mokdong Hospital between January of 2001 and February of 2003. They were followed up for at least 12 months with lateral cephalographs. The remodelling changes of the horizontal linear measurement between the Pogonion and Perpendicular line to FH plane were measured and analysed by Independent sample tests. The chin advancement resulted in $1.3{\pm}0.3mm$ resorption (28.2% of advancement) after 6 months, but in $1.4{\pm}0.2mm$ after 1 year. If the chin was advanced less than 3 mm, remodelling followed by $1.2{\pm}0.2mm$ reduction, but $1.3{\pm}0.3mm$ reduction followed after chin advanced over 4 mm. There were no significant differences in the amount of bone resorption by the gender, number of genial cut-steps and acompanied osteotomies.

CLINICAL STUDY OF TEMPOROMANDIBULAR JOINT OPEN SURGERY (측두하악관절 관혈적 수술에 관한 임상적 연구)

  • Shim, Cheong-Hwan;Kim, Young-Kyun;Yun, Pil-Young
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.27 no.1
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    • pp.55-65
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    • 2005
  • Most patients with temporomandibular disorder can be treated conservatively. However, open TMJ surgery can be needed in some patients. We analysed the patients with TMD which open surgery has performed since 1998. Open surgery was carried out in 8 patients. Age ranged from 22 to 61 years, with a mean of 42.8years. All patients were male. Final diagnosis was obtained based upon clinical, radiographic and operative finding as follows; habitual luxation, bony ankylosis, traumatic arthritis, disc displacement with destructive change, disc displacement and adhesion. Etiologic factors included trauma(4), infection(2), and unknown(2). Open surgery included arthroplasty with either of condylectomy, eminectomy, meniscoplasty, capsurrohaphy. All patients were recovered uneventfully without severe complications. Some mouth opening limitation and mouth opening deviation remained. Postoperative aggressive physical therapy and careful follow up were performed. In conclusion, open TMJ surgery must be considered in organic disease such as ankylosis, tumor and TMD without favorable recovery after long-term conservative therapy.

RADIOLOGIC VARIABLES AFFECTING EXTRACTION OF I MPATCTED MANDIBULAR THIRD MOLARS (매복 하악 제3대구치의 외과적 발거에 영향을 미치는 방사선학적 변수)

  • Kim, Dong-Hyun;Park, Sung-Bin;Chang, Ic-Jun;Song, Jae-Chul;Chin, Byung-Rho
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.23 no.3
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    • pp.238-243
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    • 2001
  • Purpose : The purpose of this study was to determine radiologic variables affecting extraction of impacted mandibular third molar. Materials and Methods : This study was investigated on 44 consecutive extractions of unilateral impacted mandibular third molars (Male;34, Female;10, Mean age;24.98, Age range;19-35). Fourteen radiologic variables, which were actual value except only one, were evaluated to establish their relation to the operation time. The Pearson correlation coefficient and Stepwise procedures for regression analysis were carried out. Results : Eight variables (depth, angulation, ramus width, relationship to the second molar, distal ramus depth, mesial ramus depth, mesial periodontal ligament width and follicle) showed a statistically significant relation to the operation time(Pearson correlation coefficient, p<0.05). Two variables, depth and mesial periodontal ligament width, showed the most powerful and just relation to the operation time($r^2$ = 0.349, p<0.05). Conclusion : This study shows that our results can help general practioner to estimate the operation time of extraction of impacted mandibular third molars by measuring two radiologic variables ; depth and mesial periondontal ligament width.

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TOOTH TRANSPLANTATION AFTER SURGICAL REMOVAL OF ODONTOMA: A CASE REPORT (치아종 제거후 시행한 자가치아이식술)

  • Kim, Jong-Woon;Kim, Su-Gwan;Kim, Soo-Heung;Chung, Tae-Young
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.23 no.3
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    • pp.244-247
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    • 2001
  • We report a case in which a right mandibular incisor was impacted beneath an odontoma in the anterior mandible. An odontoma at the symphyseal region was removed under general anesthesia, and bone was grafted. Tooth #41, which was beneath the lesion, was extracted and transplanted to its original site. It was splinted with resin for 2 weeks and was checked at intervals during that time. After 4 months, it was filled endodontically with calcium hydroxide.

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INFERIOR ALVEOLAR NERVE REPOSITIONING IN THE ATROPHIC POSTERIOR MANDIBULAR ALVEOLAR RIDGE (하악 무치악 인공치아매식술시 하치조신경 전위술)

  • Choi, Eui-Hwan;Ha, Jeong-Wan;Kim, Su-Gwan;Chung, Tae-Young;Kim, Soo-Heung
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.23 no.3
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    • pp.226-231
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    • 2001
  • Modified surgical technique for transposition of the inferior alveolar nerve followed by immediate placement of endosseous implants in mandibles with moderate to severe atrophy are presented. Five transpositions of the inferior alveolar nerve together with the installation of 10 implants were performed in four patients. The mean postoperative follow-up time was 17 months, with a range of 8 to 20 months. All implants with functioning pontics remained stable, with no mobility or symptoms of pain and infection during the follow-up period. Neurosensory evaluation was performed using the two-point discrimination test. Two patients had objective neurosensory dysfunction at postoperative, but all the nerve function were reported as normal by the patients 4 months postoperatively.

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Comparative Study of Skeletal Relapse According to the Fixation Method after BSSRO for Mandibular Setback. (하악 시상골 절단술 후 고정 방법에 따른 회귀 성향에 대한 비교 연구)

  • Bae, Jin-Oh;Lee, Dong-Keun;Oh, Sung-Hwan;Sin, Ki-Young;Chang, Kwan-Sik
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.22 no.2
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    • pp.184-190
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    • 2000
  • Objective : To compare two different methods of rigid fixation in postoperative stability after mandibular setback. Material and Methods : 28 patients with Class III malocclusion were treated by bilateral sagittal split ramus osteotomy(BSSRO) and mandibular setback were selected for this study. Group A(n=14) had the bone segments fixed with monocortical miniplate on the lateral side of the mandibular body and Group B(n=14) had three noncompressive bicortical screw inserted at the genial area through a transcutaneous approach. Cephalograms were taken preoperatively, postoperatively within 1 weeks and at a follow-up period (mean 8.9 months after surgery) and the amount of setback and postoperative change were measured. Results : Postoperative relapse between two groups was minimal in setback of the mandible. Statistical analysis showed no significant difference in postoperative relapse. Conclusion : This study suggests that both methods of skeletal fixation investigated give comparable postoperative stability and their use in mandibular setback appears to be a fairly stable clinical procedure .

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A CLINICAL AND RADIOLOGICAL STUDY ON THE MANDIBULAR CONDYLE FRACTURE IN THE CHILDREN (소아의 하악 과두 골절에 대한 고찰)

  • Oh, Sang-Hwa;Kim, Woo-Hyung;Son, Yong-Jun;Kho, Young-Gui;Lee, Hee-Chul
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.17 no.4
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    • pp.429-437
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    • 1995
  • Of all facial fractures in children, condylar fractures have the greatest propensity to produce a growth disturbance. This risk appears to be greatest when the injury is during the first 3 years of during adolescence. Yet, the ability of a child to undergo compensatory growth that decrease the effects of the injury is also the greatest. Fracture dislocation of the condyle in the preadolescent often results in excellent remodeling and function. Because of this factor and the higher risRs of avascular necrosis and ankylosis open reduction of a condylar fracture in a child is not widely recommended. This retrospective study analyzed mandibular condyle fractures in the children who admitted in dept. of Oral and Maxillofacial Surgery, Pusan paik hospital from 1984 to 1993 clinically and radiologically.

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IDOPATHIC UNILATERAL MASSETER MUSCLE HYPERTROPHY;CASE REPORT & REVIEW OF LITERATURE (특발성 편측 교근비대증;증례보고 및 문헌고찰)

  • Lee, Jeong-Gu;Han, Myoung-Soo;Kim, Sang-Bong;Kim, Hak-Bum
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.11 no.2
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    • pp.74-80
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    • 1989
  • Etiological manifestion of unilateral a bilateral hypertrophy of masseter muscle, is not cleanly defined. It thought to have a congenital combined with occlusion, psychogenic & neurophysiologic rances. The disease is cleanly differentiated from other disease, however careful distinction of the parotid disease is necessary due to its location. The patients mainly complaint aesthetic problems, surgical excision is the treatment of choice. Although no recurrence cases were reported, follow up for this is recommended.

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