• Title/Summary/Keyword: Maxillofacial

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Displacement of dental implants into the focal osteoporotic bone marrow defect: a report of three cases

  • Lee, Sang-Chil;Jeong, Chang-Hwa;Im, Ho-Yong;Kim, Seong-Young;Ryu, Jae-Young;Yeom, Hak-Yeol;Kim, Hyeon-Min
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.39 no.2
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    • pp.94-99
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    • 2013
  • Focal osteoporotic bone marrow defect (FOBMD) is a radiolucent area corresponding to the presence of hematopoietic tissue rarely found in the jaws. FOBMD is most commonly located in the mandibular edentulous posterior area of a middle-aged female. From November 2011 to November 2012, we experienced three cases involving removal of implants that had accidentally fallen into the FOBMD area. All patients happened to be female, with a mean age of 54 years (range: 51-60 years). One case involved hypoesthesia of the lower lip and chin, while two cases healed without any complication. Displacement of an implant into the FOBMD area is an unusual event, which occurs rarely during placement of a dental fixture. The purpose of this study was to report on three cases of FOBMD and to provide a review of related literature.

Walk-Up flap for Reconstruction of Oral and Maxillofacial defects (Walk-Up flap을 이용한 악안면 영역의 결손부 재건)

  • Shin, Sang-Hun;Park, Sung-Jin;Lee, Kwang-Ho;Lee, Sung-Keun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.22 no.2
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    • pp.249-253
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    • 2000
  • Oral and Maxillofacial defects is produced by trauma or cancer surgery. This defects have been shown functional loss such as mastication, swallowing, speech and psychosocial esthetic problem. Oral and Maxillofacial defects is reconstructed by the use of many flaps. However although previous flap surgery was done, additional soft tissue defects can be still remained. In this case, Walk-Up flap that is introduced by Marx RE in 1990 is recommended for successful reconstruction. We report Walk-Up flap for reconstruction of remained soft tissue defects of tongue S.C.C. After induction chemotherapy, tongue S.C.C. is excised surgically and reconstructed by use of PMMC flap. Post-op infection results in surrounding soft tissue defect with oro-facial fistula. We have experienced a case of Walk-up flap by use of PMMC flap for reconstruction with satisfactory result, so we report it with literature reviews.

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Management of Proteus Syndrome with Craniofacial Hemihyperostosis: Case Report (악골의 편측 비대를 보이는 프로테우스 증후군의 치료: 증례보고)

  • Yun, Yeong-Eun;Seol, Ka-Young;Oh, Min-Seok;Choi, Jung-Goo;Kim, Sang-Jung;Lee, Dong-Keun;Kang, Ji-Yeon
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.33 no.6
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    • pp.540-548
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    • 2011
  • Proteus syndrome is a congenital hamartomatous malformation that is characterized by a wide range of deformities, including craniofacial deformities. Proteus syndrome features partial gigantism and asymmetry of the limbs, plantar hyperplasia, hemangiomas, lipomas, lymphangiomas, varicosities, verrucous epidermal nevi, macrocephaly, cranial hyperostosis, and long bone overgrowth. We diagnosed Proteus syndrome in a male patient who visited our hospital with a chief complaint of limited mouth opening and report the case because we obtained a good healing outcome after treating the condition with a corrective osteotomy.

A CLINICAL STUDY OF MANDIBLE FRACTURE FOR 10 YEARS AT CHUNCHEON CITY (춘천지역의 하악골 골절 양상)

  • Kim, Kyoung-Soo;Kang, Hee-In;Kil, Yong-Kab;Kim, Jae-Seong;Lee, Young;Seo, Hyun-Soo;Hong, Soon-Min;Park, Jun-Woo
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.31 no.6
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    • pp.519-525
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    • 2009
  • The population were increased by industrialization and urbanization of the modern society and social activities of the person were rapid increased too. Subsequently the number of motor vehicle accident, sports accident and industrial accident were increased, resulting in the number of oral and maxillofacial trauma were increased. Because of the mandible relatively protruded among the facial bone, the most frequent associated oral and maxillofacial injuries was mandible fracture in the trauma center setting. A clinical study on 411 patients with mandibular fracture who visited in Department of Oral and Maxillofacial Surgery, Chun-chon Sacred Heart Hospital during 10 years(1997-2006) was done by analysing sex, age, mode, fracture site and treatment method

Orbital roof and supraorbital ridge fracture: a report of three cases (상안와벽 및 상안와연 골절의 치험례)

  • Lee, Jae-Yeol;Lee, Sung-Tak;Kim, Yong-Deok;Shin, Sang-Hun;Kim, Uk-Kyu;Chung, In-Kyo;Hwang, Dae-Seok
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.37 no.6
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    • pp.524-529
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    • 2011
  • Orbital roof and supraorbital ridge fractures are frequently associated with high energy concomitant craniofacial trauma. When a displacement of the orbital roof and supraorbital rim occurs, exploration, stabilization and reconstruction are warranted to limit the ocular complications. The management of fractures involving the frontal sinus must consider the possible need for obliteration or cranialization of the sinus. Many incisions have been described and used to approach these fractures, such as a coronal incision, eyebrow incision, and an incision through the laceration. We report 3 cases of orbital roof and supraorbital ridge fracture patients with a review of the relevant literature.

Maxillofacial reconstruction with Medpor porous polyethylene implant: a case series study

  • Khorasani, Mansour;Janbaz, Pejman;Rayati, Farshid
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.44 no.3
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    • pp.128-135
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    • 2018
  • Objectives: The role of alloplastic materials in maxillofacial reconstruction is still controversial. Determining the utility of porous, high-density, polyethylene implants as a highly stable and flexible, porous alloplast, with properties such as rapid vascularization and tissue ingrowth, is crucial in cases of maxillofacial deformities and aesthetic surgery. Materials and Methods: Thirty high-density porous polyethylene implants were implanted in 16 patients that had been referred to a private office over a three-year period. These implants were used for correcting congenital deformities, posttraumatic defects and improving the aesthetic in nasal, paranasal, malar, chin, mandibular angle, body and orbital areas. Results: The outcomes of the cases in this study showed good aesthetic and functional results. The majority of patients had no signs of discomfort, rejection or exposure. Two implants suffered complications: a complicated malar implant was managed by antibiotic therapy, and an infected mandibular angle implant was removed despite antibiotic therapy. Conclusion: Based on the results, the Medpor implant seems to be an excellent biomaterial for correcting various facial deformities. Advantages include its versatility and relatively ideal pore size that allows for excellent soft tissue ingrowth and coverage. It is strong, flexible and easy to shape.

BEHCET DISEASE WITH SUPERIOR VENA CAVA THROMBUS IN A PATIENT PRESENTING DELAYED FACIAL WOUND HEALING : A CASE REPORT (단순안면열상환자에서 발생한 창상치유지연 및 상대정맥혈전증을 동반한 베체트병 : 증례보고)

  • Choi, Sun-Mi;Ha, Joo-Hyo;Kim, Sun-Ae;Choi, Mi-Ra;Jung, Su-Jin;Lee, Hyen-Soo;Yang, Soo-Nam
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.30 no.2
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    • pp.198-204
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    • 2008
  • Behcet Disease is a multisystem inflammatory disorder of unknown orign. It is characterized by recurrent oral ulcer, genital ulcer, skin lesions and ocular inflammation, and which may involve the joints, skin, central nervous system and gastrointestinal tract. Because Behcet Disease dose not have any specific symptoms and laboratory findings, the diagnosis is made on the basis of the criteria proposed by the the International Study Group for Behcet Disease. Behcet Disease is affecting both arteries and veins, and clinically manifest large vessel involvement occurs in between 7 and 49% of patients. Superior vena cava thrombosis is a rare but well-recognized manifestation of Behcet disease. We report a case of a Behcet Disease with superior vena cava thrombosis in a patient presenting delayed facial wound healing.

TREATMENT OF UNICYSTIC AMELOBLASTOMA BY INTRAORAL APPROACH AFTER MARSUPIALIZATION ; A CASE REPORT (조대술 후 구강내 접근술을 통한 거대 법랑모세포종의 치험례 : 증례보고)

  • Kim, Dong-Hyung;Cho, Sung-Woong;Seo, Dong-Won;Kang, Ji-Yeon;Sim, Jae-Hwan;Lee, Dong-Keun;Kim, Sang-Jung
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.34 no.2
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    • pp.216-219
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    • 2008
  • Ameloblastoma is the most frequently accuring odontogenic tumor in mouth. The biologic behavior of this neoplasm is locally invasive tumor with a high rate of recurrence. But in case of unicystic ameloblastoma, it was known that the neoplasm can be treated by marsupialization and the recurrence rate is lower. In our clinic, we tried to treat one of ameloblastoma cases by marsupialization and finished the treatment by enucleation via intra-oral approach with sagittal ramus osteotomy. This is a report of that case about 29 years old female patient.

Ghost cell odontogenic carcinoma on right mandible and its respective surgical reconstruction: a case report

  • Park, Sang Yoon;Park, Joonhyoung;Kwon, Do Hyun;Jeon, Jae ho;Kim, Soung Min;Myoung, Hoon;Lee, Jong Ho
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.43 no.6
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    • pp.415-422
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    • 2017
  • Calcifying cystic odontogenic tumor (CCOT) is defined as an odontogenic cyst-like benign neoplasm that characteristically contains several ghost cells, ameloblastoma-like epithelium, and occasional calcification. Ghost cell odontogenic carcinoma (GCOC), a malignant form of CCOT, is an exceptionally rare malignant tumor. In this report, we present a case of a 53-year-old man whose chief complaint was a solitary mass on the right mandible area. The mass was completely removed through an extraoral surgical approach and reconstructive surgery was performed in two phases.

RECONSTRUCTION USING MANDIBULAR HORIZONTAL DISTRACTION OSTEOGENESIS AND IMPLANT PROSTHESIS IN MANDIBULAR DEFICIENCY : A CASE REPORT (하악골 결손환자에서 수평적 골 신장술과 임프란트 보철수복 : 증례보고)

  • Shin, Min-Young;An, Jun-Hyun;Han, Jung-Hwan;Shin, Sung-Soo;Park, Yang-Ho;Park, Young-Ju;Park, Jun-Woo;Rhee, Gun-Joo
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.29 no.6
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    • pp.444-449
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    • 2003
  • Distraction osteogenesis is a biologic process in which new bone is formed between bone fragments being separated by a tractional force. This technique has the advantage of initiating new bone growth without bone transplantation and promoting the growth of soft tissue. Mandibular distraction osteogenesis has shown to be effective to treat congenital or acquired mandibular hypoplasias. On the basis of positive results with implant-supported prostheses, the use of implants in the distracted site can significantly help stabilize the prosthesis. We obtained good result in the patient with mandibular deficiency due to trauma, who have been reconstructed with distraction osteogenesis and implant. We report our experiences with literature view.