하악과두골절에서 근육과 인대를 통한 기능적인 정복술
Neuromuscular Guided Functional Reduction of Mandibular Condyle Fracture
장환용, 윤태승, 김형준, 이학기, 장현석, 임재석, 이의석,
소속 상세정보
장환용 ( Jang Hwan-Yong ) - 고려대학교 구강악안면외과학교실
윤태승 ( Yoon Tae-Seung ) - 고려대학교 구강악안면외과학교실
김형준 ( Kim Hyung-Jun ) - 고려대학교 구강악안면외과학교실
이학기 ( Lee Hak-Gi ) - 고려대학교 구강악안면외과학교실
장현석 ( Jang Hyun-Suk ) - 고려대학교 구강악안면외과학교실
임재석 ( Rim Jae-Suk ) - 고려대학교 구강악안면외과학교실
이의석 ( Lee Eui-Seok ) - 고려대학교 구강악안면외과학교실
KMID : 1146620150040020051
Abstract
Introduction: Practitioner used 2 different plate fixation after reduction of mandibular condyle fracture. This study was to compare sliding plate between conventional 4 hole plate after condyle fracture reduction.
Method and materials: A total of 30 patients were operated for condyle fracture. Group was separated two. Control group operated and fixated 4 hole conventional plate (n=13). Experimental group operated and fixated sliding plate (n=17). Approximately 3~6 month later followed up through panorama & reverse townes view X-ray. In these X-ray, we compared angle of non-fracture opposite side condyle between fracture site condyle. Statistical analyzed with Mann-whitney analysis (P<0.05).
Results: Observing through Panoramic X-ray fracture site condyle angle and non-fracture site condyle angle’s difference
were 2.1 degree at sliding plate and 7.12 degree at 4 hole conventional plate. In reverse towens view X-ray, fracture
site condyle angle and non-fracture site condyle angle’s difference is 13.5 degree at sliding plate and 16.5 degree
at 4 hole conventional plate.
Conclusion: We suggest using sliding plate to reduce condyle fracture. No significant difference measured changing
condyle angle after operation between sliding plate and 4 hole conventional plate in panoramic & reverse townes view.
키워드
Condyle fracture; Sliding plate
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