• Title/Summary/Keyword: Oral and maxillofacial surgeon

Search Result 134, Processing Time 0.018 seconds

MASSIVE POSTOPERATIVE BLEEDING: A CASE REPORT (극심한 술후 출혈 : 증례보고)

  • Kim, Young-Kyun;Kim, Hyoun-Tae
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • v.25 no.4
    • /
    • pp.367-370
    • /
    • 1999
  • While oral and maxillofacial surgery such as orthognathic surgery, TMJ surgery is in progress, there always exists a risk of bleeding from maxillary artery, and this perplexes the surgeon in operation. In case of massive bleeding, it is mostly very difficult or even impossible to take an immediate action in order to stop bleeding. Even when hemostasis is possible by applying such methods as the use of local hemostatics, pressing, electrocoagulation or direct ligation, there is a high risk of secondary bleeding. Therefore, in case there is bleeding from maxillary artery, it is the best to restrain bleeding completely either by the ligation of the artery in bleeding in operation fields or by the ligation of the external carotid artery.

  • PDF

Correction of Fibrous Dysplasia through Malarplasty without Internal Fixation

  • Oh, Young-Il;Yoon, Kyu-Ho;Park, Kwan-Soo;Cheong, Jeong-Kwon;Bae, Jung-Ho;Lee, Kwon-Woo;Han, Jung-Gil;Shin, Jae-Myung;Baik, Jee-Seon
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • v.35 no.5
    • /
    • pp.337-341
    • /
    • 2013
  • Fibrous dysplasia is a chronic developmental disease of the skeleton involving formation of immature bone. Involvement of facial bones can result in deformation of facial contour. Prominent cheek area is often treated with malarplasty, which has a variety of modifications, depending on the surgeon's preference. The authors report on a case of polyostotic fibrous dysplasia in which the patient's right cheek had a prominent appearance. The prominence was corrected with malarplasty without internal fixation. The soft nature of bone involved in fibrous dysplasia could provide greater flexibility for modification of the traditional surgery.

RIDGE EXPANSION OSTEOTOMY TECHNIQUE FOR IMPLANTATION IN THE MAXILLA (상악골에서 IMPLANT 매식을 위한 치조제 확대 골절단술)

  • Lee, Gi-Hyug;Yeo, Hwan-Ho;Kim, Young-Kyun;Kim, Su-Gwan
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • v.19 no.2
    • /
    • pp.149-155
    • /
    • 1997
  • Ridge expansion osteotomy(REO) technique is a simple and more conservation method to widen a narrow alveolar ridge in the maxilla. This method is superior to drilling method in soft and narrow maxillary alveolar ridge and allows the surgeon to widen the ridge in routine office procedure. Therefore, it is the treatment of choice to implant the maxilla with narrow alveolar ridge. This article presents clinical cases and discusses the advantages, rationale and surgical protocol of REO technique.

  • PDF

TREATMENT OF FACIAL MULTIPLE COMPLEX FRACTURES;CASE REPORTS (안면부 다발성 복잡골절의 치료;증례보고)

  • Kim, Young-Kyun;Yeo, Hwan-Ho;Yang, In-Seog
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • v.16 no.2
    • /
    • pp.208-214
    • /
    • 1994
  • Successful treatment of patients with multiple complex facial bone fractures is dependent on the precise clinical and diagnostic image, well-established systematic principles of fracture repair. The oral and maxillofacial surgeon should appreciate the postoperative complications and minimize or manage adequately. Most of complications can be treated secondarily, but we should appreciate the fatal complications which are impossible to treat.

  • PDF

BLEPHAROPLASTY BY VARIOUS CAUSES (다양한 원인에 의한 안검성형술)

  • Min, Chul-Gi;Myung, Hoon;Seo, Byoung-Moo;Hwang, Soon-Jung;Lee, Jong-Ho;Choung, Pill-Hoon;Kim, Myung-Jin;Choi, Jin-Young
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • v.31 no.4
    • /
    • pp.342-349
    • /
    • 2005
  • Recently, the number of facial contouring surgery such as angle reduction or malarplasty in Oral and maxillofacial surgery is increasing steadly as the demand for maxillofacial esthetic surgery of the patients is growing. Looking around international trend of oral and maxillofacial surgery, nowadays workshop or symposium about facial soft esthetic surgery such as corrective rhinoplasty, blepharoplasty, face lift are held. This means that maxillofacial esthetic surgery is new scope which oral and maxillofacial surgeons should develope. Therefore the authors present cases of blepharoplasty which got hardly used to oral and maxillofaical surgeon with literature review in order to raise the concern about maxillofacial esthetic surgery.

Peutz-Jeghers Syndrome: A Case Report and Review of Literature (Peutz-Jeghers 증후군: 증례보고와 문헌고찰)

  • Kim, Hyun Soo;Kim, Soung Min;Choi, Jin Young;Myoung, Hoon;Lee, Suk Keun;Lee, Jong Ho
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • v.34 no.5
    • /
    • pp.363-366
    • /
    • 2012
  • Peutz-Jeghers syndrome is a rare syndrome with characteristic features of multiple hamartomatous polyps and mucocutaneous pigmentation. This syndrome is an autosomal dominant disease, and has complications related with polyps of the gastrointestinal tract, such as small bowel obstruction, iron deficiency anemia associated with bleeding, and intussusceptions. Many studies have reported about higher cancer risk of patients with this syndrome than those with no syndrome in the gastrointestinal tract, including gastric, duodenal, jejunal and the extragastrointestinal organs, such as gallbladder, breast and reproductive system. There are guidelines for periodic test for early detection and treatment for higher risk organs. We report a case of Peutz-Jeghers syndrome patient in the emphasis of Oral and Maxillofacial surgeon's role with review of the literature.

A diagnostic dilemma in pediatric osteomyelitis: a case report

  • Mandrekar, Pooja Narendra;Gavhane, Sanket;Fernandes, Trishala Bhadauria;Dhupar, Vikas;Dhupar, Anita
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • v.48 no.2
    • /
    • pp.117-121
    • /
    • 2022
  • Infantile osteomyelitis is a rare disease that is infective in nature and may rapidly turn fatal, as the disease is often misdiagnosed due to its varied presenting signs. Early diagnosis may help in avoiding systemic involvement and permanent deformity. The disease presents with signs of orbital involvement, nasal congestion, and emesis, as well as other standard hallmarks of infection. Furthermore, the maxilla is a highly vascular and porous bone and the occurrence of osteomyelitis in an infant maxilla is highly uncommon. In addition, routine blood work is not suggestive of the presence of this disease. Thus, prompt diagnosis of this condition poses a challenge to surgeons due to the confusing array of symptoms combined with the rarity of the disease. One such case of osteomyelitis of the maxilla in a young child is presented. The dilemma encountered by the surgeon during the diagnosis and treatment of the disease is discussed.

RE-TREATMENT OF MALOCCLUSION RESULTING FROM IMPROPER REDUCTION OF FACIAL BONE FRACTURE (안면골 골절의 부적절한 정복에 의해 야기된 부정 교합의 재치료)

  • Yoon, Hyeong-Ki;Park, Jin-Bae;Lee, Hae-Kyoung;Lee, Soo-Woon;Kim, Woo-Hyeong
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • v.27 no.2
    • /
    • pp.177-182
    • /
    • 2005
  • Malocclusion can be often found after improper reduction of facial bone fractures, especially by the plastic surgeon or other medical doctor. This causes lots of problem in esthetics, mastication, or facial symmetry. We present four cases which are related above problems. These were well treated by orthognathic surgery or orthodontic treatment.

Osteomyelitis in an Osteopathia Striata with Cranial Sclerosis Patient

  • Park, Heung-Chul;Kim, Hang-Gul;Kim, Yong-Hwan;Kim, Joo-Hwan;Kim, Moon-Young;Kim, Kyung-Wook
    • Maxillofacial Plastic and Reconstructive Surgery
    • /
    • v.36 no.6
    • /
    • pp.285-291
    • /
    • 2014
  • Osteopathia striata with cranial sclerosis (OS-CS) is characterized by linear bone dysplasia at the long bone radiographically and sclerotic change at the cranium. The purpose of this case report is to study the symptoms and treatments of osteomyelitis in a patient with OS-CS. A 41-year-old patient had pus discharge from a fistula at the mental region and increase in radiolucencies with sequestra in panoramic radiograph images. Computed tomography (CT) as well as radiograph images for the whole skeleton were taken. The patient was diagnosed with OS-CS. Sequestrectomy and fistulectomy were performed. The patient recovered and no relapse occurred within six months after surgery. For diagnosis of OS-CS, CT and additional radiograph images for the whole skeleton are required. Because of the increased bone density, this patient is prone to relapse after sequestrectomy. Therefore, the surgeon must minimize trauma with the least incision and exfoliation, and preoperative antibiotics.

Comparison of the efficacy of amoxicillin-clavulanic acid with metronidazole to azithromycin with metronidazole after surgical removal of impacted lower third molar to prevent infection

  • Sayd, Shermil;Vyloppilli, Suresh;Kumar, Krishna;Subash, Pramod;Kumar, Nithin;Raseel, Sarfras
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
    • /
    • v.44 no.3
    • /
    • pp.103-106
    • /
    • 2018
  • Objectives: The goal of the study was to investigate the clinical effects of amoxicillin-clavulanic acid (500+125 mg) with metronidazole 400 mg administered three times daily (Group I) versus azithromycin 500 mg administered once daily and with metronidazole 400 mg three times daily (Group II) for the prevention of postoperative infection following mandibular third molar surgical removal. Materials and Methods: The study design was a single-center prospective study. Patients who reported to the Department of Oral and Maxillofacial Surgery between February 2015 and January 2017 for removal of mandibular third molar were screened, and 108 patients were chosen. One surgeon carried out all procedures. Patients were prescribed antibiotics until the two groups contained a similar number of cases. Results: Our data showed that Group II had fewer incidences of surgical site infection, but with no statistical significance. Conclusion: Although both treatments are used routinely after removal of the mandibular third molar, neither is significantly better than the other.