악안면 기형 환자들의 발현 양상, 원인 요소 및 외과적 교정 방법에 관한 역학적 연구
A Retrospective Study On The Clinical Manefestations, Etiologic Factors Or Surgical Correction Methods Of The Maxillofacial Deformity Patients
현충환, 임창준,
소속 상세정보
현충환 ( ) - 계명대학교 의과대학 산부인과학교실
임창준 ( ) - 단국대학교 치과대학 구강악안면외과
KMID : 0360119970190030233
Abstract
결론
저자들은 1990년 1월부터 1992년 10월까지 충남대학교병원 치과에 내원하여 악교정술을
시행 받은 40명에 대해 분석한 바 다음과 같은 결론을 얻었다.
1. 남녀의 성비는 17:23으로 여성이 많았으며, 20대에 수술하는 경우가 80%로 대부분을 차
지하였다.
2. 기능적 결함과 심미적 결함을 모두 호소하는 경우는 26례(65%)이었으며, 심미적 결함만
을 호소하는 경우는 10례(25%)이었다.
3. 하악전돌증 증세가 25례(39%)이었으며, 안면비대칭 13례(20%), 하악우각부 돌출증 11례
(17%)로 순으로 관찰되었다.
4. 수술법은 하악골 상행지 지상 골절단술이 27(35%)례로 가장 많이 시행되었으며, Lefort I
골 절단술이 13례(17%), 하악골 우각부 절제술 11례(16%) 순으로 시행되었다.
5. 원인 요소로 유전적인 경향은 12례(30%), 선천성 기형은 3례(7.5%), 악관절 외상인 경우
는 3례(7,5%), 원인이 불분명한 경우는 22례(55%)였다.
6. 수술 부위별 분석에 의하면 하악만 시술한 경우는 23례(57.5%), 상악만 시술한 경우는 2
례(5%), 상하악을 동시에 시술한 경우는 15례(37.5% )였다.
#초록#
Recently the goal of orthognathic surgery has been focused on esthetic improvement
of the patients. Also early corrective surgery was favorable selected by most of the oral
maxillofacial surgeons. We should consider the etiologic factor of the patient's
dentofacial deformities when treatment is planned, because this is major factor in
estimating the predictability or stability of result. The more researches were carried on
the etiologic factors of the dentofacial deformities. The more possibility of the early
surgical correction will be increased. The authors analyzed about etiologic factors and
epidemiologic studies of the forty patients who had received the orthopaedic surgery.
The analysed results were as follows :
1. The predilection ration between male and female was 17:23, and 32 patients(80%) of
40 patients were aged twenties
2. 26patients(65%) complained estetic problems as well as functional problems. 10
patients(25%) complained only esthetic problems, and 4 of 40patients complained only
functional problems.
3. Mandibular prognathism was found to be done most frequently(25.39%). Facial
asymmetry(13.20%) and angle hypertrophy were found to be next in sequence.
4. Sagittal split ramus osteotomy was done most frequently(27.35%). Lefort I
osteotomy(13.17%), angle reduction(12.16%), and genioplasty(11.15%) were done also.
5. The number of the cases due to nonspecific etiologic factor was 22(55%). that of
cases due to inhertied tendency was 12(30%), that of cases due to congenital anomaly
was 3(7.5%), and that of cases due to trauma was 3(7.5%)
6. The number of patients who got only maxillary surgery was 2(5%), that of patients
who got only mandibular surgery was 23(57.5%), and that of patients who got
simultaneous two jaw surgery was 15(37.5%)
키워드
원문 및 링크아웃 정보
등재저널 정보