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  • 서로 다른 재발 경향을 보인 구순구개열 환자의 악교정수술 증례 비교
  • Comparison of Relapse Pattern after Two-jaw Surgery in Two Cleft Patients:
저자명
박윤희,백승학
간행물명
대한구순구개열학회지KCI
권/호정보
2017년|20권 2호(통권36호)|pp.9-20 (12 pages)
발행정보
대한구순구개열학회|한국
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정기간행물|KOR| 이미지(1.04MB)
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영문초록

This article presents two cleft patients treated with orthognathic surgery, which showed different relapse pattern after two-jaw surgery. The high relapse case was unilateral cleft lip and palate, the low relapse case was bilateral cleft lip and palate. Both cases underwent two-jaw surgery after growth completion. Differences in the surgical movement of the maxilla and mandible in two cases were as follows. First, although both cases showed backward movement (∆B-H, -12.6 mm vs. -8.9 mm) and clockwise rotation of the mandible, the amount of clockwise rotation was significantly larger in the high relapse case than the low relapse case (∆FMA, 17.4° vs 3.3°). Second, both cases showed clockwise rotation of the maxilla by forward movement of the maxilla and elongation of the maxillary anterior portion in the high relapse case (∆A-H, 4.5 mm; ∆A-V, 6.2 mm) and impaction of the maxillary posterior portion without forward movement of the maxilla in the low relapse case (∆A-H, 0.9 mm; ∆A-V, 2.0 mm). Two cases showed different relapse pattern after two-jaw surgery. First, while the high relapse case exhibited significant advancement of the mandible, the relapse of the mandible was minimal (∆B-H, 4.4 mm vs. 0.8 mm). Second, the vertical relapse of the maxilla occurred in the high relapse case, but the maxilla of the low relapse case was stable (∆A-V, -3.6 mm vs. -0.7 mm). Third, although the maxillary incisors of both cases was tipped labially, the amount of labioversion was lager in high relapse case than the low relapse case (∆U1-SN, 7.1° vs. 4.3°). In order to prevent significant post-surgical relapse of the mandible in cleft patients, several surgical methods that can reduce unnecessary clockwise rotation of the mandible and increase the vertical stability of maxilla are required.

목차

ABSTRACT Ⅰ. 서론 Ⅱ. 증례보고 Ⅲ. 고찰 Ⅳ. 결론 참고문헌

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