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2.
Journal of the Korean Association of Maxillofacial Plastic and Reconstructive Surgeons ; : 483-489, 2011.
Article Dans Coréen | WPRIM | ID: wpr-785114
3.
Journal of the Korean Association of Maxillofacial Plastic and Reconstructive Surgeons ; : 108-113, 2008.
Article Dans Coréen | WPRIM | ID: wpr-784791
5.
Journal of the Korean Association of Maxillofacial Plastic and Reconstructive Surgeons ; : 559-564, 2006.
Article Dans Coréen | WPRIM | ID: wpr-784719
8.
Journal of the Korean Association of Maxillofacial Plastic and Reconstructive Surgeons ; : 39-47, 2005.
Article Dans Coréen | WPRIM | ID: wpr-784601
9.
Journal of the Korean Association of Oral and Maxillofacial Surgeons ; : 246-250, 2004.
Article Dans Coréen | WPRIM | ID: wpr-122538

Résumé

Uni- or bilateral mandibular hypoplasia can be associated with various syndromes or is acquired after early traumatic or inflammatory disease in the temporomandibular joint(TMJ). Early treatment is necessary to avoid consequent impairment of midfacial growth. The standard treatment of these malformations consists of the application of bone grafts which can lead to unpredictable growth, but the new procedure of bone lengthening which was presented by McCarthy et al. represents a limited surgical intervention and therefore open up a new perspective of treatment, especially in younger children with severe deformities. Patients with hemifacial microsomia and facial asymmetry have a vertically short maxilla, a tilted occlusal plane, and a short mandible. A 14-years-old boy with facial asymmetry, who was fractured on both condyle and mandibular symphysis before 8 years ago, was treated by mandibular ramus lengthening, symphysial widening and surgically assisted rapid palatal expansion with corticotomy. After allowing 1 week for the healing of the periosteum, the distraction was performed at the rate of 0.5-1.0mm per day for 7 days on maxilla and 14 days on mandible. The device was maintained on maxilla and mandible for 12 weeks following distraction. The difference in ramus and mandibular transverse deficiency were corrected and facial asymmetry was improved with complex distraction osteogenesis.


Sujets)
Enfant , Humains , Mâle , Allongement osseux , Malformations , Occlusion dentaire , Asymétrie faciale , Syndrome de Goldenhar , Mandibule , Maxillaire , Ostéogenèse par distraction , Périoste , Transplants
12.
Journal of the Korean Association of Maxillofacial Plastic and Reconstructive Surgeons ; : 366-374, 2004.
Article Dans Coréen | WPRIM | ID: wpr-784563
15.
Journal of the Korean Association of Oral and Maxillofacial Surgeons ; : 516-525, 2004.
Article Dans Coréen | WPRIM | ID: wpr-25946

Résumé

Mandibular symphyseal distraction osteogenesis is an alternative approach for correcting mandibular transverse deficiencies and dental crowding. The traditional approaches for these are extraction of teeth and arch expansion with traditional orthodontic treatment. Also extractions are usually unavoidable in patients with severe crowding. The purpose of this study is to evaluate the effect of mandibular symphyseal distraction osteogenesis by use of tooth-borne expansion appliance. All of 12 patients had been performed distraction osteogenesis. The surgical procedures were accomplished under local anesthesia and intravenous sedation in an ambulatory surgical setting using a routine distraction protocol. The latency period was 5 days or 7 days after symphyseal osteotomies. The rate and rhyth is a intermittent, 0.75mm or 1.0 mm per day and stabilized for 6, 8 weeks after distraction. The time of orthodontic tooth movement after distraction was variable from 2 weeks to 8 weeks (mean 3 weeks). All patients had been evaluated with study casts, plain periapical films, panorama radiograms before and after surgery. Mandibular symphyseal distraction osteogenesis increased mandibular arch width and corrected dental crowding, with paralleling tooth-borne movement, without proclination of the mandibular incisors.


Sujets)
Humains , Anesthésie locale , Incisive , , Malocclusion dentaire , Mandibule , Ostéogenèse par distraction , Ostéotomie , Dent , Mouvement dentaire
16.
Journal of the Korean Association of Maxillofacial Plastic and Reconstructive Surgeons ; : 405-415, 2003.
Article Dans Coréen | WPRIM | ID: wpr-784501
17.
Journal of the Korean Association of Maxillofacial Plastic and Reconstructive Surgeons ; : 452-460, 2003.
Article Dans Coréen | WPRIM | ID: wpr-784495
18.
Journal of the Korean Association of Maxillofacial Plastic and Reconstructive Surgeons ; : 314-323, 2003.
Article Dans Coréen | WPRIM | ID: wpr-784485
20.
Journal of the Korean Association of Maxillofacial Plastic and Reconstructive Surgeons ; : 482-488, 2002.
Article Dans Coréen | WPRIM | ID: wpr-784440
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