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農藥中毒後遺 筋强直으로 惹起된 顎顔面 變形 患者의 治驗例
梁棟奎(Yang Dong Kyu),鄭仁敎(Jeong ln Kyo),金兌奎(Kim Tae Kyu),金鍾烈(Kim Jong Ryoul),金昱珪(Kim Uk Kyu),趙倫一(Cho Yun Il),崔甲林(Choi Kab Rim),崔昌洙(Tchoi Tchang Soo) 대한구강악안면외과학회 1987 대한구강악안면외과학회지 Vol.13 No.1
A 32-year old man was admitted to the Department of Oral and Maxillofacial Surgery, Busan National University Hospital with complaints of unsightly appearance, inability of chewing and swallowing. The patient had attempted suicide by taking insecticide and persistent muscle contraction for over 2 years has brought collapse of lower arch, open bite deformity and disturbances of mastication and deglutition. After reducing the contraction of muscles by administration of muscle relaxants and tranquilizers, we carried out intraoral sagittal split osteotomy on both rami and suprahyoid myotomy. In this paper, we also reviewed the effects of insecticide poisoning to the nervous system and the dentofacial deformity caused by abnormal muscle forces.