반안면왜소증 환자의 안면비대칭 해소를 위한 늑연골 이식 및 악교정 수술의 동시 이용
Correction of Facial Asymmetry Using Costochondral Graft and Orthognathic Surgery in Hemifacial Microsomia Patient
서미현, 천강용, 윤준용, 유충규, 이은경, 이원덕, 서제덕,
소속 상세정보
서미현 ( Seo Mi-hyun ) - 서울대학교 보라매병원 구강악안면외과학교실
천강용 ( Cheon Kang-Yong ) - 서울대학교 보라매병원 구강악안면외과학교실
윤준용 ( Yun Jun-Yong ) - 서울대학교 보라매병원 구강악안면외과학교실
유충규 ( Yoo Chung-Kyu ) - 서울대학교 보라매병원 구강악안면외과학교실
이은경 ( Lee Eun-Kyung ) - 서울대학교 보라매병원 구강악안면외과학교실
이원덕 ( Lee Won-Deok ) - 서울대학교 보라매병원 구강악안면외과학교실
서제덕 ( Suh Je-Duck ) - 서울대학교 보라매병원 구강악안면외과학교실
KMID : 0360120100320040359
Abstract
The zygoma is second most commonly vulnerable facial bone in fracture, in number only by nasal fractures. It is difficult to evaluate reduction state intraoperatively, because almost surgeons reduce the fractured zygoma by blind method. We suggest the use of orthopedic C-arm intraoperatively. We use plain radiography, CT to evaluate preoperative state. Gilles` approach or intraoral approach were used to reduce the fractured zygomatic arch. The C-arm was positioned at chin area, used to evaluate reduction intraoperatively. We got postoperative image by CT or submento-vertex view. There are variable methods to evaluate reduction intraoperatively: palpation, ultrasonography, CT, plain films. C-arm is considered superior diagnostic tool to other methods. The use of intraoperative C-arm was very efficient, it could bring better results.
키워드
Zygomatic arch fracture; C-arm; Reduction
원문 및 링크아웃 정보
등재저널 정보