개에서 구내 신연장치를 이용한 치조골증대술

오희균(Hee Kyun Oh),오유근(Yu Keun Oh),정현(Hyun Jung),유선열(Sun Youl Ryu),최홍란(Hong Ran Choi) 대한구강악안면외과학회 1999 대한구강악안면외과학회지 Vol.25 No.3

The aim of this study was to show the feasibility and potential advantages of using the new intraoral distraction device for alveolar ridge augmentation. Four adult mongrel dogs were used. We designed intraoral distraction device for augmentation of vertical height of the edentulous ridge. The left upper and lower premolars and first molars were extracted and an alveoloplasty was performed to simulate an atrophic ridge. After 12 weeks of healing, an osteotomy was made and the intraoral distraction device was applied in order to distract alveolar segment upward. A permucosal pin was exposed intraorally. Latency period was allowed for 7 days before distraction began. The distraction device was activated with a rate of 1.0 ㎜/day for 9 days. At 2 weeks after completion of the distraction, the device was removed. At 8 weeks after distraction, the animals were sacrificed. Clinical, radiographic, and histologic examinations were performed. Macroscopically, no significant abnormalities such as infection were occurred in the distracted area. The average distracted distance was 7.6±1.4 ㎜ and new bone was formed in the distracted gap in all animals. Bone remodeling without crestal bone resorption was observed in the distracted area. In several animals, fibrous tissue was present in the buccal cortical bone area. These results suggest that the intraoral distraction device may have the potential for use in augmentation of the atrophic edentulous ridge.

관골 골절에 대한 임상적 연구

유선열,정현,박세찬,오유근,박홍주,소광섭,조용기,오희균,Ryu, Sun-Youl,Jung, Hyun,Park, Se-Chan,Oh, Yu-Keun,Park, Hong-Ju,So, Kwang-Sub,Cho, Yong-Ki,Oh, Hee-Kyun 대한악안면성형재건외과학회 1999 Maxillofacial Plastic Reconstructive Surgery Vol.21 No.1

This study was based on a series of 164 patients with zygomatic bone fracture treated at Department of Oral and Maxillofacial Surgery of Chonnam University Hospital from January 1992 to December 1996. The male-to-female ratio was 7:1. Their ages ranged from 8 to 78 years, with a median age of 35.6 years. The age frequency was highest in the second decade (30.5%), and third decade (23.8%), fifth decade (16.5%) in orders. The monthly distrbution of incidence showed October to be the month in which the greatest percentage occured (14.0%). The major cause of zygomatic bone fracture was alleged traffic accidents (53.7%). The incidence of concomitant facial bone fractures was 69,5%, and maxilla fracture (52.4%) was most frequently combined. The admission route was through emergency room (72.3%) and through outpatient department (26.8%). The incidence of associated injuries was 37.2%. The intraoral approach was the major method of treatment in zygomatic bone fracture (57.1%). The most frequent type of zygoma fracture was class IV (33.5%), and class III (25.6%) was next in order of frequency. Complications were enophthalmos (7.3%), facial asymmetry (6.7%), paresthesia (6.1%), and diplopia (2.4%) These results suggest that correct diagnosis and treatment of severity of fracture, concomitant fracture, and associated injuries are necessary, and co-operative treatment with medical department should be performed to reduce postoperative complication. 1992년 1월 1일부터 1996년 12월 31일까지 본과에 입원하여 치료받은 환자중 추적이 가능한 관골 골절 환자 164명을 대상으로 후향적, 임상통계학적으로 비교 분석하여 다음과 같은 결과를 얻었다. 관골 골절 환자의 연령 분포의 범위는 8세부터 78세까지로 평균연령은 35.6세였고, 성별 분포는 7:1로 남성에서 호발하였다. 월별로는 10월(14.0%)과 8월(11.6%)에 많았고 계절별로는 가을(31.1%), 여름(25.6%), 겨울(23.2%), 봄(20.1%)의 순이었다. 발생시각별 분포는 21~24시 (34.2%)와 1~4시 (21.3%)에 많았고, 원인별로는 교통사고(53.7%)가 가장 많은 분포를 보였다. 관골 골절의 분류에 따른 분포는 class IV(33.5%)와 class III(25.6%)가 많았고, 동반된 안면부 골절은 164명중 114명(69.5%)에서 147례가 발생하였으며, 그중 상악골 골절이 52.4%로 가장 많았다. 내원 방법은 응급실을 통해 내원한 경우가 72.3%, 외래를 통해 내원한 경우가 26.8%였으며, 타과와의 연관 손상이 있는 경우는 37.2%였다. 수상후 수술을 받을때까지 경과된 시간은 5 일 이내가 36.6%로 가장 많았으며, 접근방법으로는 구내절개법(57.1%)과 눈썹절개법(38.4%)이 많이 사용되었다. 술후 합병증으로는 안구 함몰증(7.3%), 안모 비대칭 (6.7%), 감각저하(6.1%), 복시 (2.4%) 등이 발생하였다. 이상의 결과에서 관골 골절시에는 골절의 정도와 동반 골절 및 연관 손상에 대한 정확한 진단과 치료가 필요하고 타과와의 유기적인 협조하에 적절한 처치를 해줌으로써 술후 합병증을 줄일 수 있으리라 사료된다.

흰쥐 악하선에서 배설관 폐쇄에 따른 나트륨 운반체 발현의 변화 : Ligated Submandibular Gland in Rats

오유근,유선열 전남대학교 치의학연구소 2003 구강과학 Vol.15 No.4

Although acinar atrophy frequently occurs and the salivary secretory activity is significantly decreased in various salivary glandular diseases, their underlying molecular mechanisms have not been established. The present study was aimed to increase our understanding of functional alterations associated with pathological acinar atrophy. Male Sprague-Dawley rats weighing 180-200g were used. Their left submandibular ducts were ligated for 1 week, and the expression of sodium transporters related to the salivary formation was determined in the gland. The ligated gland was significantly decreased in its weight. The expressions of α_(1) and β_(1) subunits of Na, K-pump determined by Western blot analysis were increased in the experimental group. Accordingly, the catalytic activity of Na, K-pump was increased. The expressions of α, β, and γ subunits of BNaC were increased. The expression of TSC was also increased. The mRNA expression of mineralocorticoid receptor determined by reverse transcription-polymerase chain reaction was decreased in the experimental group. These results suggest that the changes in sodium transporters are causally related with an increased intraluminal pressure in the salivary duct in the ligated gland.

구내 신연장치를 이용한 치조골 신연에 미치는 잠복기의 영향

오유근,오희균,유선열 대한악안면성형재건외과학회 2001 Maxillofacial Plastic Reconstructive Surgery Vol.23 No.4

The present study was aimed to investigate the effects of latency period on alveolar ridge distraction using the intraoral distraction device, Nine adult mongrel dogs of either sex, weighing about 15kg, were used. They were divided into 3-day, 5-day, and 7-day groups according to the latency period. The left upper and lower premolars and first molars were extracted, Twelve weeks after the extraction, an osteotomy was performed and the distraction device was applied. After the latency period, the distraction was applied at a rate of 1.2mm for 8 days. The distraction device was left in place for 2 weeks to allow consolidation and was then removed. The animals were sacrified at 8 weeks after completion of distraction and were examined macroscopically, radiographically, and histologically. After completion of the distraction, the alveolar crest protruded prominently, showing the vertical augmentation of the alveolar bone. Soft tissues were broken down after the 6th day of distraction in 3-day latency group, and premature union occurred on the 7th day of distraction in the 7-day latency group. The average distance was 9.40±0.3mm in 3-day latency group, 9.35±0.1mm in 5-day latency group, and 8.85±0.1mm in 7-day latency group. In the radiograph taken at 8 weeks after distraction, there was slight bone resorption around the medial and distal edges of the alveolar bone segment, and a new bone deposition was observed in the neighboring alveolar crest area in all groups. Fibrous tissues were present in a part of the buccal cortical bone area of the distraction gap, and the woven and lamellar bones were observed in the distracted gap. There were bony bridges in the distraction gap in all animals examined. These results suggest that optimal time of latency period on alveolar ridge distraction using the intraoral distraction device is about 5 days in dogs, and about 7days in human beings.

구내 신연장치를 이용한 치조골 신연에 미치는 잠복기의 영향

오유근,유선열 전남대학교 치과대학 2000 전남치대논문집 Vol.12 No.1

The present study was aimed to investigate the effects of latency period on alveolar ridge distraction using the intraoral distraction device. Nine adult mongrel dogs of either sex, weighing about 15 kg, were used. They were divided into 3-day, 5-day, and 7-day groups according to the latency period. The left upper and lower premolars and first molars were extracted. Twelve weeks after the extraction, an osteotomy was performed and the distraction device was applied. After the latency period, the distraction was applied at a rate of 1.2mm for 8 days. The distraction device was left in place for 2 weeks to allow consolidation and was then removed. The animals were sacrified at 8 weeks after completion of distraction and were examined macroscopically, radiographically, and histologically. After completion of the distraction, the alveolar crest protruded prominently, showing the vertical augmentation of the alveolar bone. Soft tissues were broken down after the 6th day of distraction in 3-day latency group, and premature union occurred on the 7th day of distraction in the 7-day latency group. The average distance was 9.40±0.3mm in 3-day latency group, 9.35±0.1mm in 5-day latency group, and 8.85±0.1mm in 7-day latency group. In the radiograph taken at 8 weeks after distraction, there was slight bone resorption around the medial and distal edges of the alveolar bone segment, and a new bone deposition was observed in the neighboring alveolar crest area in all groups. Fibrous tissues were present in a part of the buccal cortical bone area of the distraction gap, and the woven and lamellar bones were observed in the distracted gap. There were bony bridges in the distraction gap in all animals examined. These results suggest that optimal time of latency period on alveolar ridge distraction using the intraoral distraction device is about 5 days in dogs, and about 7days in human beings.