하악골 골절의 치료에 있어 악간 고정법에 관한 고찰
Considerations of intermaxillary fixation methods in the management of mandibular fractures
송경호, 양병은, 송상훈, 김좌영, 최영준, 이슬기, 정재안, 신진업, 김성곤,
소속 상세정보
송경호 ( Song Kyoung-Ho ) - 한림대학교 성심병원 구강악안면외과학교실
양병은 ( Yang Byeong-Eon ) - 한림대학교 의과대학 구강악안면외과
송상훈 ( Song Sang-Hoon ) - 한림대학교 성심병원 구강악안면외과학교실
김좌영 ( Kim Jwa-Young ) - 한림대학교 성심병원 구강악안면외과학교실
최영준 ( Choi Young-Jun ) - 중앙대학교병원 치과센터 구강악안면외과
이슬기 ( Lee Seul-Ki ) - 한림대학교 성심병원 구강악안면외과학교실
정재안 ( Chung Jae-An ) - 한림대학교 강남성심병원 구강악안면외과
신진업 ( Shin Jin-Eob ) - 한림대학교 강남성심병원 구강악안면외과
김성곤 ( Kim Seong-Gon ) - 한림대학교 성심병원 구강악안면외과학교실
KMID : 0360120070290060513
Abstract
Typical surgical methods for the treatment of mandibular fractures include intermaxillary-fixation (IMF) for obtaining temporary intraoperative occlusion. Traditionally IMF has been achieved with arch-bars or interdental eyelet wiring. However, these techniques are time-consuming procedures, can produce periodontal damage, and are not well tolerated by the patient even under local anesthesia. Moreover, daily maintenance of oral hygiene is difficult for patients with an arch bar. Recently, intermaxillary fixation using intraoral skeletal anchorage screws (SAS) has been introduced for the treatment of mandibular fractures. This method solves the problems above, but they have the potential for tooth damage, screw fractures and intraoperative occlusal instability. In this study, patients with mandiblular fractures were divided into three groups. Group 1 was treated by IMF using archbars(both maxilla and mandible), Group 2 was treated with SAS (maxilla) and arch-bar (mandible), Group 3 was treated with SAS (both maxilla and mandible). The aim of this study was to evaluate the influence of the different IMF methods on periodontal tissue health and intraoperative occlusal rehabilitation about each groups, and to discuss the most favorable IMF method.
키워드
Intermaxillary fixation; IMF; Skeletal Anchorage Screws; SAS; Intraoperative occlusal rehabilitation
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