한국인 전상환자의악안면결손에 대한 임상적 연구
The clinical study of the maxillofacial war injuries in korean
최규환, 민승기, 김성숙, 김종설,
소속 상세정보
최규환 ( ) - 원광대학교
민승기 ( ) - 원광대학교
김성숙 ( ) - 원광대학교
김종설 ( ) - 원광대학교
KMID : 0360119920140040275
Abstract
Maxillofacial war injuries is specific representative of severe hard and soft tissue defect. This type of injuries were different from the trauma because it may be fatal.
The purpose of this study was to evaluate the injury type base on the retrograde medical record in the 104patients from Feb. 1991 to aug. 1992 in Korea Veterans Hospital.
@ES The obtained results were as follows.
@EN Among 104 cases, 51 cases (49.0%) were classified as mandibular defects only, and 53 cases (51.0%) were classified as maxillary with mandibular defect (combined).
2. The etiologic factors of injury were gunshot, artillery and grenade or shell : 33 cases, 14 cases, and 10 cases respectively in Korea War, 19 cases, 5 cases, and 8 cases respectively in Vietnam War.
3. In 57 cases of mandibular partial defect, the angle area between the lst molar and the ascending ramus shouwed the highest frequencies. 17 cases (40.4%), and almost all cases were unilateral defect (40 cases, 95.0%).
4. In 42 cases of mandibular segmental defect, the area between the lst molar and the ascending ramus showed the highest frequencies. 17 cases (40.4%), and almost all cases were unilateral defect (40 cases, 95.0%)
5. Reconstruction method performed for segmental mandibular defect were wire or plate (15 cases, 35.7%) and soft tissue closure only (12 cases, 28.7%), respectively.
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