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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.
左則 上두骨 및 頰骨에 發生한 殲維性 骨異形成症의 治驗例
梁棟奎,朴相俊,金秉民,金基元,金鍾烈 大韓顎顔面成形再建外科學會 1990 Maxillofacial Plastic Reconstructive Surgery Vol.12 No.3
Fibrous dysplasia is an idiopathic skeletal disorder in which medullary bone is replaced and disturbed by poorly organized, structually unsound fibroosseous tissue, which may produce cortical expansion. When facial bones are involed, considerable esthetic deformity may result. The term monostotic fibrous dysplasia has been applied when one bone is involved : when more than one bone is affected, the term polyostotic used. The polyostotic form may be accomplished by pigmented skin lesion (Jaffe type), or by pigmented skin lesions with endocrine disturbance (Albright syndrome). No general agreement exists on the cause of fibrous dysplasia. A few authors have suggested that fibrous dysplasia arises as a resujlt of trauma. It occurs predominantly in infant, adolescent females and runs a variable clinical course. When several bones are involed, it tends to be unilateral. Involements of alveolar bone may produce displacement of teeth with malocclusion, or loss of teeth, or both. Radiographycally, ti shows an indistinctly delimited osteolytic defect with a bubble - like pattern, but without a sclerotic rim. The preferred treatment is almost always surgery. If the lesion is extensive, surgical intervention with use of recontouring procedures aimed at the correction of esthetic or funtional disturbances is preferred treatment. Now, we present a case of fibrous dysplasia on the left maxilla and the zygoma treated by bony contourign via hemicoronal flap and intraoral approach with good results.