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악교정 수술을 위한 한국인 하악지의 해부학적 위치에 관한 연구
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  • 악교정 수술을 위한 한국인 하악지의 해부학적 위치에 관한 연구
저자명
우순섭,조정연,박원희,유임학,이영수,심광섭,Woo. Soon-Seop,Cho. Jung-Yeon,Park. Won-Hee,Yoo. Im-Hag,Lee. Young-Soo,Shim. Kwang-Sup
간행물명
大韓口腔顎顔面外科學會誌
권/호정보
2002년|28권 2호|pp.126-131 (6 pages)
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대한구강악안면외과학회
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
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기타언어초록

Anatomical shape of the mandibular ramus, which includes the area from the rear of the mandibular second molar to the mandibular posterior border and from the mandibular sigmoid notch to the inferior mandibular border, must be carefully considered to perform orthognathic surgery. The locations of the lingula and mandibular foramen in medial side of mandibular ramus are one of the most important factors to decide the location of the horizontal medial osteotomy in sagittal split ramus osteotomy and to select the line of vertical osteotomy in intraoral vertical ramus osteotomy. Sixty-five different Korean human dry mandibles were surveyed. All mandible have permanent dentition including complete eruption of the mandibular second molar. The locations of the lingula and mandibular foramen in medial side of the ramus were identified and following results were obtained. Anterior ramal horizontal distance from lingula was $16.13{pm}3.53mm(range:8.6{sim}24.3mm)$, anterior ramal horizontal distance from mandibular foramen was $23.91{pm}4.79mm(range: 14.1{sim}39.7mm)$, horizontal width of mandibular foramen was $2.79{pm}0.95mm(range:1.5{sim}6.1mm)$, height of lingula was $10.51{pm}3.84mm(range:3.1{sim}22.4mm)$, vertical distance from sigmoid notch to lingula was $19.82{pm}5.11mm(range:9.1{sim}35.3mm)$. From this study, the result could be used to select the location of osteotomy lines and to decide amount of periosteal elevation to avoid injury of neurovascular bundle, and to accomplish the appropriate split in Korean patients in mandibular orthognathic surgery.