• Title/Summary/Keyword: maxillofacial surgery

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POST-OPERATIVE INFECTIONS FOLLOWING THE ORTHOGNATHIC SURGERY : CASE REPORTS (악교정 수술후 발생한 감염 4증례)

  • Kim, Jong-Sup;Park, Chin-Ho;Park, Hee-Dae;Lee, Chang-Kon;Lee, Hee-Keung;Chin, Byung-Rho
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.17 no.1
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    • pp.46-54
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    • 1995
  • Postoperative infection following orthognatic surgery is rare. When postoperative infections occur, the initial treatment consists of incision and drainage of the affected area, culturing to identify bacterial stains and verify antibiotic sensitivity, and the institution of the appropriate antibiotic regimen. Some plates and screws may eventually require removal, the initial therapy should be attempted to retain the plates and screws until adequete healing has taken place. In orthoganthic surgery, intra-operative complications as a lesion of inferior alveolar nerve, fracture of osteomised segments, incomplete sectioning, malposition of segments, haemorrhage may occur. The surgeon should be familiar with possible complications to be caused and how to manage them. Prevention of postoperative infection following the orthognathic surgery consists of minimal periosteal reflection, aseptic management of operation field, proper surgical technique, rigid fixation, prophylactic antibiotics.

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AN CLINICAL ANALYSIS ON THE DENTAL EMERGENCY PATIENTS VISITING THE EMERGENCY ROOM OF DENTAL HOSPITAL OF WON-KWANG UNIVERSITY (단독 치과 병원 치과응급실 내원 환자의 임상적 분석)

  • Keum, Ki-Chun;Paeng, Jun-Young;Choi, Bo-Young;Choi, Jung-Gu;Oh, Se-Ri;Lee, Jun;Choi, Moon-Ki;Kwon, Kyung-Hwan;Oh, Seung-Hwan;Min, Seung-Ki
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.31 no.1
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    • pp.35-40
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    • 2009
  • Dental emergency varies from toothache to trauma of oromaxillofacial area. Recently, the number of emergency cases after dental treatment is increasing because surgical treatments such as implant installation rise. Dental emergency patients have been looking for emergency room of general hospital and they could be treated only when the dentist of night duty exists. Although there are many analyses on the dental emergency patients visiting general hospitals, research on the dental treatment only has not been provided enough. We anticipated different aspects between the dental emergency patients visiting independent dental hospital and general hospitals. We analyzed dental emergency patients' chief complaints and received procedures for almost 1-year period in Won-Kwang dental hospital in Dae-jeon where there had been no dental emergency settings. With this 1574 patients' result, we tried to find appropriate treatment plans regarding dental emergency patients occurring at night and holidays.

A STUDY ON CHANGE OF SKELETAL PATTERN IN ORTHOGNATHIC SURGERY PATIENT (악교정술(顎矯正術)을 받은 악안면(顎顔面) 기형환자(寄形患者)의 SKELETAL PATTERN의 변화(變化)에 관(關)한 연구(硏究))

  • Cho, Byoung-Ouck;Lee, Young-Chan;Koh, Back-Jin;Cho, Woon-Pyo
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.12 no.3
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    • pp.1-7
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    • 1990
  • In the treatment of dentofacial deformities, analysis of skeletal pattern, with evaluation of plaster dental cast, is essential procedure. This study was based on 20 patients with dentofacial deformity who were admitted to the department of oral and maxillofacial surgery Kngnam sacred heart Hospital during the period of Jan 1988 through Aug 1989. We studied serial cephalometric radiogarphs of patients (pre-op, postop immediately, postop 6 moth). The obtained results indicates the good resistance of rigid fixation against relapse in orthognathic surgery.

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Primary Correction of Unilateral Cleft Lip by the Tennison-Randall Method: Cases Report and Literatures Review (Tennison-Randall법을 이용한 편측성 구순열의 일차적 교정: 증례보고 및 문헌고찰)

  • Park, Yong-Tae;Kim, Seong-Gon;Park, Young-Wook;Kwon, Kwang-Jun;Park, Ki-Yu
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.33 no.2
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    • pp.154-157
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    • 2011
  • The primary purpose of cleft lip surgery should be the aesthetic and functional recovery of the facial components. Triangular flap repair is one of the most common techniques used in cleft lip surgery. In this case report, thirty patients with unilateral cleft lip had been treated using the Tennison-Randall method. The results were favorable and there have been no permanent complications.

USE OF PLATELET-RICH PLASMA (혈소판 풍부혈장의 임상적 응용)

  • Ha, Jeong-Wan;Kim, Su-Gwan;Cho, Se-In;Lee, Cheol-Woo;Chung, Tae-Young;Kim, Soo-Heung;Kim, Young-Kyun
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.23 no.5
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    • pp.452-457
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    • 2001
  • Platelet-rich plasma is an autologous source of platelet-derived growth factor and transforming growth factor beta that is obtained by sequestering and concentrating platelets by gradient density centrifugation. We have used platelet-rich plasma for bone graft, especially allobone graft, at implant surgery, sinus lift procedure, and cyst enucleation. This article is retrospective study from October 1999 to November 2000. All cases were good healing and clinical success.

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Cemento-Osseous Dysplasia Largely Occurring in the Mandible: Case Report (하악골에 광범위하게 발생한 백악-골 이형성증의 치험례)

  • Kim, Sin-Guen;Park, Jong-Wook;Nam, Jong-Hoon;Bok, Sung-Cheol;Lee, Young-Man;Park, Ki-Nam;Choi, Dong-Ju
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.33 no.5
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    • pp.454-458
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    • 2011
  • Cemento-Osseous dysplasia is a benign condition of the jaw known to orginate from the periodontal ligament or medullary bone. Its treatment can be categorized according to clinical symptom. If there is no pain or other discomfort, a regular recall examination and having patients maintain proper oral hygeine are the best management. However, if clinical symptoms do exist, proper treatments such as resectioning of the mandible or mandibulectomy are needed. This clinical report describes a rare symptomatic case of cemento-osseous dysplasia which was treated with a conservative surgical method. Using this method, we obtained satisfactory results without additional grafts.

A Clinical Study of Mandibular Angle Fracture

  • Yoon, Wook-Jae;Kim, Su-Gwan;Oh, Ji-Su;You, Jae-Seek;Lim, Kyung-Seop;Shin, Seung-Min;Kim, Cheol-Man
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.36 no.5
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    • pp.201-206
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    • 2014
  • Purpose: To establish management protocol for mandibular angle fracture, we describe pertinent factors including cause, impacted third molar and recent treatment tendency. Methods: We examined the records of 62 patients who had unilateral mandibular angle fracture. Sixty patients who had open reduction surgery were examined at postoperative weeks 1, 4, 8, 12, and 28. Results: Left mandibular angle fracture is frequent in younger males. Presence of the mandibular third molar can increase fracture risk. Because of attached muscle, favorable fractures occurred primarily in the mandibular angle area. Conclusion: Extracting the mandibular third molar can prevent angle fractures, and open reduction with only one plate adaptation is generally the proper treatment method for mandibular angle fracture.

THE RELATIONSHIP BETWEEN INTRAOPERATIVE FLUID MANAGEMENT AND POSTOPERATIVE ADVERSE OUTCOME IN A ORTHOGNATHIC SURGERY (악교정 수술중 수액요법과 술후 합병증의 연관성)

  • Lyoo, Jung-Ho;Kim, Dai-Yun;Bae, Jun-Su;Yang, Byung-Eun;You, Jun-Yong;Kim, Yong-Gwan
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.23 no.5
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    • pp.428-434
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    • 2001
  • Few topics in operative and perioperative patient management generate more controversy than that of appropriate fluid and electrolyte therapy. especially, controversy has swirled around colloid vs crystalloid therapy and the composition of administered fluids, agreement among clinicians as to what fluid therapy is appropriate, and in what amount, is rare. This controversy likely will be enhanced by Arieff' s provocative article. He described 11 adults and 2 pediatric patients. All developed fatal postoperative pulmonary edema, seemingly caused solely by excessive postoperative fluid administration. From January 1999 to December 1999, we investigated 24 patients, which were operated by orthognathic surgery, about the intraoperative fluid therapy and the associated effect in orthognathic surgery, which is regarded as one of the major surgery of oral and maxillofacial surgery. First, They were devided into two groups, that is one-jaw surgery and two-jaw surgery, and each groups were devided by intraoperative fluid volume of 8ml/kg/hr. Subjective assesment was collected through use of a series of 3 questionnaries. In each questionnaire, a 5-point Liekert scale was used far assessment of following parameters of recovery from anesthesia: headache, dizziness, drowsiness, nausea/vomiting, thirst. The patient completed questionnaire 1 at 4 hour after surgery, questionnaire 2 was completed at 24 hours after surgery, and questionnaire 3 was completed at 48 hours after surgery. This study demonstrated that appropriated perioperative rehydration decreases postoperative adverse outcomes and improved the patient's perception of the postoperative period.

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Submental intubation: alternative short-term airway management in maxillofacial trauma

  • Kumar, Ravi Raja;Vyloppilli, Suresh;Sayd, Shermil;Thangavelu, Annamala;Joseph, Benny;Ahsan, Auswaf
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.42 no.3
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    • pp.151-156
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    • 2016
  • Objectives: To assess submental route intubation as an alternative technique to a tracheostomy in the management of the airway in cranio-maxillofacial trauma, along with an assessment of its morbidity and complications. Materials and Methods: Submental intubation was performed in 17 patients who had maxillofacial panfacial trauma and management was done under general anesthesia during a period of one year from 2013 to 2014 at Departments of Oral and Maxillofacial Surgery and Dentistry, the Malankara Orthodox Syrian Church Medical College, Kochi, India. Results: In all 17 cases, the technique of submental intubation was found to be simple and reliable. Hypertrophic scars were noted in three cases, orocutaneous fistula and mucocele in one case each. All these complications were managed comfortably without significant morbidity to the patient. Conclusion: Submental intubation is a good technique that can be used regularly in the management of the airway in cranio-maxillofacial trauma, but with some manageable complications.