• 제목/요약/키워드: Craniofacial

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Secondary Aneurysmal Bone Cyst in a Craniofacial Fibrous Dysplasia: Case Report

  • Lee, Hyun-Seok;Koh, Young-Cho;Roh, Hong Gee;Park, Hyung Kyu;Kim, Soo Yeon
    • Brain Tumor Research and Treatment
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    • 제6권2호
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    • pp.86-91
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    • 2018
  • Aneurysmal bone cyst (ABC) is a rare non-neoplastic bone lesion that involves mostly the long bones and vertebrae and may occur very rarely in the craniofacial bones. ABCs may occur as secondary bony pathologies in association with various benign and malignant bone tumors and with fibrous dysplasia (FD). FD is a common non-neoplastic bony pathology mostly affecting craniofacial bones. Secondary ABC occurring in craniofacial FD is extremely rare, with only approximately 20 cases reported in the literature to date. Here, we report on a case of secondary ABC in a 25-year-old woman who has had a craniofacial deformity for over 10 years and who presented to us with a rapidly growing painful pulsatile mass in the right frontal region that began over 2 months prior to admission. On thorough examination of computed tomography and magnetic resonance imaging brain scans taken at two-month interval, an aggressive, rapidly enlarging ABC, arising from the right frontal FD, was diagnosed. The patient underwent preoperative embolization followed by gross total resection of the ABC and cranioplasty. The 6-month follow up showed no recurrence of the ABC, nor was any progression of the FD noticed.

Evaluation of craniofacial morphology in short-statured children: growth hormone deficiency versus idiopathic short stature

  • Kim, Ki Bong;Kim, Eun-Kyong;Jang, Kyung Mi;Kim, Min Seon;Park, Eun Young
    • Journal of Yeungnam Medical Science
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    • 제38권1호
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    • pp.47-52
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    • 2021
  • Background: Short stature is defined as a height below the 3rd percentile or more than two standard deviations below the mean for a given age, sex, and population. There have been inconsistent results regarding craniofacial morphology in short-statured children. This study aimed to analyze the differences between short-statured children with growth hormone deficiency, idiopathic short-statured children, and normal children. Methods: Thirty-one short-statured children with growth hormone deficiency, 32 idiopathic short-statured children, and 32 healthy children were enrolled in this study. The measurements of their craniofacial structures from lateral cephalograms were evaluated. Results: There were statistically significant differences among the three groups seven variables (anterior cranial base length, posterior cranial base length, total cranial base length, upper posterior facial height, posterior total facial height, mandibular ramus length, and overall mandibular length) in the linear measurement and five variables (saddle angle, gonial angle, mandibular plane angle, position of mandible, and maxilla versus mandible) in the angular measurement. Conclusion: Compared to the control group, many linear and angular measurements of the craniofacial structures were significantly different in the two short-statured groups (p <0.05). Treatment plans by orthodontists should include these craniofacial structure characteristics.

Validation of three-dimensional digital model superimpositions based on palatal structures in patients with maximum anterior tooth retraction following premolar extraction

  • Liu, Jing;Koh, Kyong-Min;Choi, Sung-Hwan;Kim, Ji-Hoi;Cha, Jung-Yul
    • 대한치과교정학회지
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    • 제52권4호
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    • pp.258-267
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    • 2022
  • Objective: This study aimed to evaluate the superimposition accuracy of digital modes for measuring tooth movement in patients requiring anterior retraction after premolar extraction based on the proposed reference regions. Methods: Forty patients treated with bilateral maxillary first premolar extraction were divided into two groups: moderate retraction (< 7.0 mm) and maximum retraction (≥ 7.0 mm). Central incisor displacement was measured using cephalometric superimpositions and three-dimensional (3D) digital superimpositions with the 3rd or 4th ruga as the reference point. The Wilcoxon signed-rank test and linear regression analyses were performed to test the significance of the differences and relationships between the two measurement techniques. Results: In the moderate retraction group, the central incisor anteroposterior displacement values did not differ significantly between 3D digital and cephalometric superimpositions. However, in the maximum-retraction group, significant differences were observed between the anteroposterior displacement evaluated by the 3rd ruga superimposition and cephalometric methods (p < 0.05). Conclusions: This study demonstrated that 3D digital superimpositions were clinically as reliable as cephalometric superimpositions in assessing tooth movements in patients requiring moderate retraction. However, the reference point should be carefully examined in patients who require maximum retraction.

외상과 다수의 치아 파절을 동반한 골격성 II 급 부정교합 환자의 치험례 (Post-traumatic reconstruction of skeletal Class II malocclusion with multiple teeth fracture)

  • 장우원;백의선;황순신;김경호;정주령
    • 대한구순구개열학회지
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    • 제20권1호
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    • pp.49-58
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    • 2017
  • We report the rehabilitation of Class II malocclusion with multiple teeth fracture due to trauma. A multidisciplinary team approach was necessary to treat patient's problems such as bone fracture, malocclusion, and multiple teeth fracture. Emergency conservative treatment, orthodontic treatment and prosthetic restoration successfully restored the occlusion. However, special considerations were needed along the orthodontic treatment process due to the unexpected complications such as ankylosis, root resorption and detection of additional teeth fractures.

Management of human bite injury of the upper and lower eyelids: a rare case report

  • Richardson, Sunil;Sharma, Kapil;Khandeparker, Rakshit Vijay Sinai
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제42권6호
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    • pp.375-378
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    • 2016
  • Human bite injury to the eyelid is extremely rare and poses a significant challenge in surgical reconstruction. We report an extremely rare case of human bite injury to the eyelid in a 43-year-old male with approximately 60% full thickness loss of the upper eyelid and 80% to 90% full thickness loss of the lower eyelid and its successful reconstruction using the local advancement cheek flap.

상순 정중부에 발생한 유표피낭종: 증례보고 (Midline dermoid cyst of the upper lip: case report)

  • 고세욱
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제37권5호
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    • pp.403-405
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    • 2011
  • Midline craniofacial dermoids are rare lesions resulting from the abnormal fusion of embryologic structures. The clinical features of craniofacial dermoid cysts show a range of presentations, including infection, asymptomatic puncti, or seizure secondary to intracranial invasion. Appropriate management involves an accurate diagnosis of the dermoid cyst and a complete resection.

Long-term survival of retained deciduous mandibular second molars and maxillary canine incorporated into final occlusion

  • Hwang, Soonshin;Choi, Yoon Jeong;Chung, Chooryung J.;Kim, Kyung-Ho
    • 대한치과교정학회지
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    • 제47권5호
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    • pp.323-333
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    • 2017
  • Orthodontic treatment of a complex case that involves retained deciduous mandibular second molars with missing permanent successors is challenging. Usually, congenitally missing teeth are manifested with other dental anomalies that further complicate orthodontic treatment, such as retained deciduous teeth, impactions, transpositions and peg-shaped lateral incisors. Even though the long term prognosis of the retained deciduous tooth is not fully predictable, if the teeth are in good condition, the patient and clinician may incline towards a decision to preserve the deciduous teeth as long as possible. This case report demonstrates that deciduous teeth, in this case the mandibular second molars and maxillary canine, can be incorporated into final occlusion with clinically stable long-term results.

$6\~12$세 아동에 있어서 상하악 성장 양상의 비교에 대한 연구 (A LONGITUDINAL STUDY ON THE GROWTH COORDINATION BETWEEN CRANIOMAXILLARY COMPLEX AND MANDIBLE OF CHILDREN FROM 6 TO 12 YEAR OF LIFE)

  • 장병랑;박영철
    • 대한치과교정학회지
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    • 제16권1호
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    • pp.145-154
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    • 1986
  • The purpose of the present study was to investigate the coordination and correlation of growth pattern between craniomaxillary complex and mandible, and among the craniofacial region, body-weight and stature. 14 boys and 16 girls between 6 and 12 years of age were used in this study. The result were as follows; 1. Total increments and maximum increment in mandible is higher than in oraniomaxillary complex during given period and no significant sexual difference existed. 2. The annual growth of craniofacial region did not assume an aspect of constant growth, periodically. 3. Craniofacial growth pattern was interrelated with stature more than with body-weight. 4. The growth behavior of body-weight and stature coincided with the growth of craniofacial region or preceded it in time.

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Management of Le Fort I fracture

  • Kim, Hak Su;Kim, Seong Eun;Lee, Hyun Tae
    • 대한두개안면성형외과학회지
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    • 제18권1호
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    • pp.5-8
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    • 2017
  • Among the classification of maxillary fracture, the Le Fort classification is the best-known categorization. Le Fort (1901) completed experiments that determined the maxilla areas of structural weakness which he designated as the "lines of weakness". According to these results, there are three basic fracture line patterns (transverse, pyramidal and craniofacial disjunction). A transverse fracture is a Le Fort I fracture that is above the level of the apices of the maxillary teeth section, including the entire alveolar process of the maxilla, vault of the palate and inferior ends of the pterygoid processes in a single block from the upper craniofacial skeleton. Le Fort fractures result in both a cosmetic and a functional deficit if treated inappropriately. In this article, authors review the management of a Le Fort I fracture with a case-based discussion.

Complications after craniofacial reconstruction with calcium phosphate cements: a case report and review of the literature

  • Pourdanesh, Fereydoun;Latifi, Noorahmad;Latifi, Fatemeh
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제44권5호
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    • pp.207-211
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    • 2018
  • Among different graft materials for craniofacial reconstruction, calcium phosphate cements have the advantages of alloplastic grafts and wide use. The authors report a case of foreign body reaction following frontal reconstruction with JectOS (an injectable calcium orthophosphate cement; Kasios) and reviewed the literature on complications of this material after craniofacial reconstruction from 2002 to 2017. Complications were categorized into two groups: immunologic reactions (consisting of seroma collection, chronic sinus mucosa swelling, and foreign body reaction) and non-immune events (infection, fragmentation, and ejection). It is wise to use calcium phosphate-based material only in selected cases with small defects, and long-term follow-up is needed to observe their consequences.