구순구개열 환자에서 상악골 신장술 후 상악골의 견고고정과 하악 후방이동 수술의 동시시행 : 증례보고
Immediate Fixation after Maxillary Distraction with Mandibular Setback Surgery in Cleft Lip and Palate Patient : Case Reports
송원욱, 이효지, 김성원, 정진환, 이슬기, 정유민, 김종렬,
소속 상세정보
송원욱 ( Song Won-Wook ) - 부산대학교 치의학전문대학원 구강악안면외과학교실
이효지 ( Lee Hyo-Ji ) - 부산대학교 치의학전문대학원 구강악안면외과학교실
김성원 ( Kim Sung-Won ) - 부산대학교 치의학전문대학원 구강악안면외과학교실
정진환 ( jung Jin-Hwan ) - 가천의과학대학교 길병원 구강악안면외과
이슬기 ( Lee Seul-Ki ) - 가천의과학대학교 길병원 구강악안면외과
정유민 ( Jeong You-Min ) - 고려대학교 구로병원 구강악안면외과
김종렬 ( Kim Jong-Ryoul ) - 부산대학교 치의학전문대학원 구강악안면외과학교실
KMID : 0952820090120020085
Abstract
Cleft lip and palate patients show midface hypoplasia, maxillary hypoplasia due to scar of previous surgery, and manifest as a class III malocclusion, retruded midface and shallow palate. These deformities have been treated with traditional orthognathic surgery. Although conventional Le Fort I osteotomy was performed on most cleft patinets with midface hypoplasia, it showed limited amount of maxillary advancement and high relapse tendency. Recently, when great amount of advancement are required in severe maxillary hypoplasia, distraction osteogenesis using RED system is widely used. But, several months of consolidation period is needed after distraction osteogenesis, occlusal relationship is not stable until mandibular setback surgery has done in mandibular hyperplasia cases and during these period, patients may feel discomfort. We present clinical cases of immediate rigid internal fixation after completion of maxillary distraction using RED system and simultaneous mandibular setback procedure in adult cleft and lip patients who show both maxillary hypoplasia and mandibular prognathism.
키워드
Maxillary hypoplasia;Distraction osteogenesis;Rigid internal fixation
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