악교정 수술과 함께하는 mandibular angle management
Mandibular Angle Management for Improving the Esthetic Result of Orthognathic Surgery
한세진,
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한세진 ( Han Se-Jin ) - 단국대학교 치과대학 구강악안면외과학교실
KMID : 0362720120500110677
Abstract
Orthognathic surgery(2-jaw or 1-jaw surgery) is very famous one of cosmetic techniques. However, primary purpose of orthognathic surgery is to improve the occlusion of jaw and secondary purpose is to improve the esthetic result. Unfortunately, many patients don? only confuse often primary and secondary purpose of orthognathic surgery but they think the esthetic result is more important than the occlusion. Therefore, oral and maxillofacial surgeon has to fully understand cosmetic needs of patient and reflect that in the treatment plan.
Patients with prominent mandibular angle want to have the narrower face of so called ?-line?shape. Various techniques like the angle shaving, ostectomy of the lateral cortex around the mandibular angle and masseter musclectomy can be used for improving the mandibular angle hypertrophy. These techniques also can be applied in orthognathic surgery at the same time.
We operated patients of orthognathic surgery, especially, with wide lower face and post-operative results were satisfactory in all cases. So, we propose mandibular angle management for improving the esthetic result of orthognathic surgery.
키워드
orthognathic surgery; V-line; mandibular angle shaving
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