구강악안면영역에서의 MedporTM의 임상적용
THE USE OF MEDPORTM (POROUS HIGH-DENSITY POLYETHYLENE) IN ORAL AND MAXILLOFACIAL REGION
소속 상세정보
박광범/Gwang Bum Park
여환호/김수관/박광범/여환호/김수관/Hwan Ho Yeo/Su Gwan Kim/Gwang Bum Park/Hwan Ho Yeo/Su Gwan Kim
KMID : 0360119990210010060
Abstract
결론
MedporTM를 사용하여 구강악안면 영역에서 다양한 시술과 부위에 따른
임상적 적용은 자가골 이식으로 인한 합병증을 줄여 환자에게 부가적인 시술을 막아준다.
이러한 이식재의 조작 용이성, 다양한 형태의 상품화, 매우 낮은 빈도의 합병증으로 인한 높
은 성공률, 술후 만족할만한 개선 등이 보여졌으며, 본 증례들에서도 98%의 성공율을 보였
다.
이러한 이식재의 다양한 상품 개발과 임상적 적용을 함께 병용하여 자가골 이식의 필요성
을 줄여 환자의 시술을 줄일 수 있었다.
Recently, for the reconstruction of bony defect and defect and cosmetic improvement,
many graft materials and implants have been widely used in the various surgical
situations. The alloplastic materials have many advantages such as simplicity of
operation, no additional need of surgery, and easy manipulation.
The MedporTM(porous high-density polyethylene, Porex Co., USA) was
initially studied in 1972 for surgical implant and introduced as an implant material for
oral and maxillofacial region by Sauer and King in 1988. This material permits full
ingrowth of bone into the implants, substantially increasing the implant's incorporation
into the recipient site. It can be shaved during the surgery, which results in an
improvement and prefabricated various size and shaper to fit into the surgical defect.
The MedporTM was used in 32 patients from 1995 to 1997 at the
maxillofacial region. It was used for paranasal augmentation in 24 cases, for malar
augmentation in 2 cases, for infraorbital augmentation in 2 cases, for mandibular angle
augmentation in 2 case, for mandibular body augmentation in 2 cases, for chin vertical
augmentation in 1 case. It was mainly fixed with miniplate or screw. There were few
complications except one infection and one exposure of the implant.
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