• Title/Summary/Keyword: maxillofacial surgery

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A RETROSPECTIVE CLINICAL STUDY OF PERIAPICALLY INFECTED TEETH TREATED WITH PERIAPICAL SURGERY (치근단 감염 치아의 치근단 수술 후 예후에 관한 후향적 연구)

  • Kim, Hyeon-Min;Park, Chul-Hwi;Lee, Sang-Chil;Kim, Dong-Woo;Park, Dae-Song;Jung, Jin-Hwan;Lee, Seul-Ki;Song, Min-Seok
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.32 no.3
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    • pp.236-241
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    • 2010
  • Purpose: The purpose of this retrospective clinical study was to monitor the outcomes of periapical surgery in periapically infected tooth with or without retrograde filling materials (MTA or IRM). Patients and Methods: A total of 85 teeth in 63 patients were included in the study between November 2004 and August 2008. Randomly, MTA or IRM was used as a retrograde filling material or only apical resection without retrograde filling. Teeth with advanced periodontal bone loss or presence of root fracture were excluded from the study. The patients were subjected to a minimum follow-up period of 12 months, with a mean of 17.1 months. Results: Successful healing was observed in 83.3% of the MTA-treated teeth, 80% of the IRM-treated teeth and 75% of the teeth which was not retrograde filling. Doubtful healing was seen 9.3% (MTA), 13.3% (IRM), 12.5% (no retro-filling). The success rate of upper incisors (92%) was higher than lower lincisor and molars (66.7% and 50%, respectively). Conclusion: In this study, periapical surgery including retrograde filling improves the prognosis. And, no statistically significant differences were found between retrograde filling materials (MTA or IRM).

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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THE EFFECTS OF CRYOSURGERY TO THE HEMANGIOMA ON THE LOWER LIP & BUCCAL MUCOSA (하순 및 협점막에 발생한 혈관종에 대한 냉동외과술의 효과)

  • Lee, Sang-Chull;Kim, Yeo-Gab;Ryu, Dong-Mok;Han, Hoon;Lee, Yong-Jae
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.11 no.1
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    • pp.237-241
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    • 1989
  • Hemangioma can present difficult management problems to the oral & maxillofacial surgeon when their removal is indicated. Cryosurgery has also been employed for the treatment of hemangiomas and offers several advantages over the other treatment methods. This is a case report of hemangioma which was treated by cryosurgery. The cryosurgery technique has proved to be painless, bloodless and safe. The healing process was completed at 4 weeks postoperatively with minimal invisible scar.

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Regional anesthesia for maxillofacial surgery in developing countries

  • Kim, Soung Min;Seo, Mi Hyun;Myoung, Hoon;Lee, Jong Ho
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.16 no.4
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    • pp.245-252
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    • 2016
  • Regional anesthesia in the maxillofacial region is safer and more efficient than general anesthesia when its indications are carefully considered. In addition, the majority of medical institutions in developing countries are not well equipped for proper anesthesia and elective surgery. In this review, we describe regional anesthesia and cutaneous nerve divisions in the maxillofacial region. In addition, we summarize detailed regional anesthetic techniques adapted for representative cleft lip cases in developing countries.

MAXILLARY SINUSITIS AS A COMPLICATION OF ORAL BISPHOSPHONATE RELATED OSTEONECROSIS OF THE JAW: A CASE REPORT (경구용 비스포스포네이트 관련 악골괴사의 합병증로 발생한 상악동염; 증례보고)

  • Kim, Yeong-Ran;Kwon, Yong-Dae;Lee, Baek-Soo;Choi, Byung-Joon;Walter, Christian;Al-Nawas, Bilal
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.35 no.1
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    • pp.39-40
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    • 2009
  • Maxillary sinusitis is an infectious disease which can arise from odontogenic etiology and a maxillary osteomyelitis can spread into the sinus and consequently develop maxillary sinusitis. In this case report, a mid eighty's lady was diagnosed as BRONJ with maxillary sinusitis as a complication. The patient was managed successfully in collaboration with a endocrinologist. Through serial follow-up of serum CTX, we could decide the timing of surgical intervention.

Brain abscess due to odontogenic infection: a case report

  • Park, Sung Yong;Suh, Dong Won;Park, Chul Min;Oh, Min Seok;Lee, Dong-Kun
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.40 no.3
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    • pp.147-151
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    • 2014
  • In this report, we describe a case of brain abscess due to odontogenic infection. A 53-year-old female who had been suffering from headache and trismus for two weeks visited the Department of Oral and Maxillofacial Surgery at the Sun Dental Hospital (Daejeon, Korea). Even after several routine tests, we still could not make a diagnosis. However, after the combined multidisciplinary efforts of oral surgeons and neurosurgeons, the patient was treated for odontogenic infection and made an uneventful recovery. Therefore, patients with infections in the head and neck region showing symptoms such as headache, changes in mental state, nausea, vomiting, seizures, hemiplegia, speech disturbance, and visual disturbance, a brain abscess should be included in the list of differential diagnoses.

Acquired synechia of the tongue to the mouth floor

  • Sodnom-Ish, Buyanbileg;Nguyen, Truc Thi Hoang;Eo, Mi Young;Cho, Yun Ju;Kim, Soung Min;Lee, Jong Ho
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.47 no.5
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    • pp.394-397
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    • 2021
  • Sodium hydroxide or caustic soda is a corrosive agent that can cause extensive damage to the oral mucosa, lips, and tongue when ingested either accidentally or intentionally. These injuries include microstomia, shallow vestibule, ankyloglossia, speech impairment, loss of teeth and impairment in facial expression. In the present article, we report a unique case of tongue adhesion to the mouth floor and its surgical management in a 66-year-old female patient, who had a history of caustic soda ingestion.

Intra-alveolar extraction of linguoverted mandibular premolars - the Shetye technique: a technical note

  • Shetye, Omkar Anand;Mandrekar, Pooja Narendra;Khandeparker, Rakshit Vijay;Fernandes, Trishala Bhadauria;Dhupar, Vikas;Akkara, Francis
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.48 no.4
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    • pp.242-244
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    • 2022
  • Extraction of premolars for orthodontic purposes may prove challenging when the tooth is blocked or lingualised. The standard buccal approach may prove difficult in such cases. A novel technique was used for 16 patients with healthy linguoverted mandibular premolars using maxillary extraction forceps. The ease of extraction increased and resulted in uneventful postoperative healing in all patients. The authors suggest this as a preferred technique for extracting mandibular premolars in linguoversion.

The impact factors on 5-year survival rate in patients operated with oral cancer

  • Geum, Dong-Ho;Roh, Young-Chea;Yoon, Sang-Yong;Kim, Hyo-Geon;Lee, Jung-Han;Song, Jae-Min;Lee, Jae-Yeol;Hwang, Dae-Seok;Kim, Yong-Deok;Shin, Sang-Hun;Chung, In-Kyo;Kim, Uk-Kyu
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.39 no.5
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    • pp.207-216
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    • 2013
  • Objectives: The purpose of this study is to analyze clinical impact factors on the survival rate, and to acquire basic clinical data for the diagnosis of oral cancer, for a determination of the treatment plan with long-term survival in oral cancer patients. Materials and Methods: Through a retrospective review of the medical records, the factors for long-term survival rate were analyzed. Thirty-seven patients, among patient database with oral cancer treated in the Department of Oral and Maxillofacial Surgery at Pusan National University Hospital within a period from March 1998 to March 2008, were selected within the study criteria and were followed-up for more than 5 years. The analyzed factors were gender, age, drinking, smoking, primary tumor site, type of cancer, TNM stage, recurrence of affected region, and metastasis of cervical lymph node. The 5-year survival rate on the impact factors was calculated statistically using the Kaplan-Meier method. Results: By classification of clinical TNM at the 1st visit, there were 11 (29.7%) cases for stage I, 11 (29.7%) cases for stage II, 3 (8.1%) cases for stage III, and 12 (32.5%) cases for stage IV. The 5-year survival rate of total oral cancer patients after the operation were 75.7%, pathological TNM stage related 5-year survival rate were as follows: stage I 90.0%, stage II 81.8%, stage III 100% and stage IV 45.5%; in which the survival rate difference by each stage was significantly observed. The recurrence of cervical lymph node was the significant impact factor for the survival rate, because only 30.0% the survival rate in recurrent cases existed. During the follow-up, there were 15 (40.5%) patients with confirmed recurrence, and the 5-year survival rate of these patients was decreased as 46.7%. Conclusion: The classification of clinical and pathological TNM stage, local recurrence after surgery, and metastasis of cervical lymph node after surgery were analyzed as the 3 most significant factors.