재건용금속판을 따라 하악골편 전이 골신장기를 이용한 하악골 연속성의 회복
Restoration of mandibular continuity using mandibular transport distractor guided by reconstruction plate
김성민, 박영욱, 김지혁, 김한석, 정지훈, 이종호,
소속 상세정보
김성민 ( Kim Soung-Min ) - 강릉대학교 치과대학 구강악안면외과학교실
박영욱 ( Park Young-Wook ) - 강릉대학교 치과대학 구강악안면외과학교실
김지혁 ( Kim Ji-Hyuck ) - 강릉대학교 치과대학 구강악안면외과학교실
김한석 ( Kim Han-Seok ) - 강릉대학교 치과대학 구강악안면외과학교실
정지훈 ( Chung Ji-Hun ) - 강릉대학교 치과대학 구강악안면외과학교실
이종호 ( Lee Jong-Ho ) - 서울대학교 치의학대학원 구강악안면외과학교실
KMID : 0360120070290050429
Abstract
Transport distraction osteogenesis has been introduced recently to correct skeletal malformations and discrepancies in the maxillofacial area. To reconstruct 3-dimensitonal mandibular shape, this transport distraction can be considered with the use of reconstruction plate. A 23-years-old male having unilateral mandibular body and angle defects, who had been operated of partial mandibular resection due to unicystic ameloblastoma, was treated by transport distraction procedures with ThreadLock transport distractor(R) (KLS Martin Co., Germany) through the rail of reconstruction plate (Osteomed Co., USA). After being distracted 35 mm defect from mandibular angle to body, and consolidated for 16 weeks, allogenic bone graft on docking site was performed with removal of transgingival pin. For more than 13 weeks follow up period after consolidation period, gradual increase of radiopacity in the radiographic examination was shown, and the curved mandibular continuity according to the reconstruction plate was made firmly. These transport distraction osteogenesis in the mandible was able to be considered as the good and minimally invasive technique for the reconstruction of mandibular discontinuity. Young patient was also very satisfactory for these results.
키워드
Mandible reconstruction;Reconstruction plate;ThreadLock transport distractor(R);Transport distraction osteogenesis
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