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Nam’s Method에 의한 下顎顆頭 및 頸部 骨折 處置 (II)
Il Woo Nam(南日祐) 대한구강악안면외과학회 1980 대한구강악안면외과학회지 Vol.6 No.1
It is very difficult that the fractured condylar head and upper condylar neck have to be reduced and immobilized properly. The reduction and fixaton of the fractured those bones are so difficult to be reduced and fixated that many oral surgeons are trying to study on how to operate an adequate reduction and fixation. In spite of endeavor, lots of fragments of the fractured condylar heads frequently have been removed as so-called condylectomies because complexities of the surrounding anatomical structures make adequate reductions and fixations impossible. Thus the author has developed a new method named Dr. Nam s method in terms of oblique osteotomy, interosseous wiring extraorally, and replantation by which I have successfully treated 48 patients with fractures of the condylar head or upper part of the condylar neck of the mandibles since 1976. In order to reduce and immobilize those fractured, firstly, oblique osteotomy at the affected ascending ramus of the mandible was preceded, and secondly, the separated posterior part of the ascendingramus and fractured condylar head were carefully removed out from the body to be reduced and immobilized together extraorally, and lastly, replantations were made at the same sites. The results were drawn as follows: 1. The author successfully has treated 48 patients with the condylar head or upper condylar neck fractures by using Dr. Nam s method. 2. No intermaxillary fixation or less than 1 week intermaxillary wiring was needed after surgery. 3. The normal mouth opening and closing, and facial appearnaces could be observed in 1 month aft er surgery. 4. Traumatic injury for instance, automobile accident, was one of the commonest causes of fractures of the condylar head and upper condylar neck. 5. The features of those fractures were type I; one single fragment of upper condylar neck, Type II ; oblique. single fracture from the inner condylar head to its articular surface, and type III ; fractures with 3 pieces condylar head in the order.
THE CONDYLAR HEAD AND UPPER CONDYLAR NECK FRACTURES TREATED BY NAM S METHOD (III)
Nam I W(南日祐) 대한구강악안면외과학회 1981 대한구강악안면외과학회지 Vol.7 No.1
著者는 과거 7년간 서울大學校 齒科大學 附屬病院, 서울大學校 病院 및 全北大學校 醫大 附屬病院口腔外科에서 下顎顆頭 및 頸部骨折 환자 103명을 Nam s Method (斜線骨切斷術, 口外結紮 및 再植手術)에 의하여 처치하고, 수술 20~40일 후에 開口狀態 및 顔貌狀態 등에 대하여 硏究觀察 하였던 바 다음과 같은 結論을 얻었다. 1. 著者는 103名의 下顎顆頭 및 頸部骨折 症例를 Nam s method에 의하여 완치할 수 있었다. 2. 本 방법에 의하여 시술한 후 90例는 顎間固定을 하지 않아도 되었으며, 복잡골절을 가진 13例는 1주일간 顎間固定으로 충분하였다. 3. 手術 20~40일 후에 정상적 開口狀態와 顔貌를 관찰할구 있었다. 4. 下顎顆頭 骨折의 원인은 교통사고 51.5%, 폭력과 추락사고가 각각 14.6%, 운동 10.7% 및 기타 8.7% 순위 이었다. 5. 骨折樣態는 單純頸部骨折(Type I)이 51.5%, 內側顆頭骨折(Type II) 26.2% 및 多發性 顆頭骨折(Type III) 22.3% 순위이었다. 6. 骨折患者의 年齡分布는 20세 이후가 37.9%, 11~20세群이 35.9% 그리고 5~10歲群이 26.2% 順位이었다.
남(南)씨 방법으로 치료된 하악과두골절 환자의 예후에 대한 임상적, 방사선학적 연구
이창선(Chang Sun Lee),남일우(Il Woo Nam) 대한구강악안면외과학회 1995 대한구강악안면외과학회지 Vol.21 No.1
The goals of condylar fracture are restoring normal occlusion, function and facial esthetics as other fractures of the jaw. In addition to these, prevention of growth disturbance is very important in the children. Concerning about treatment method, which is conservative or surgical, the most important thing is to know the exact indications of surgical treatment. Dr. Nam had developed a method as a means to overcome technical limits of overcome technical limits of surgery, and reported that the clinical results had been satisfactory. This study was carried out to clear up the function and state of joint long term after the operation. And this study was made the 20 patients as subject that had been treated of condylar fracture with Nam s method in Department of Oral and Maxillofacial Seoul National University, from january 1980 to september 1993. On the basis of clinical and radiographic features that obtained at just after the trauma and long term after the operation, we have some results as follows. 1. Although there were some cases showed limitations in the mandibular movement, few of them had the clinical symptoms. And surgical complications such as nerve dysfunction and scar formation were negiigible. 2. The most frequent clinical feature after the operation was the jaw deviation to the fracture side during the mouth oening. Owing to this deviation, mean limitation rate of excursion was slightly high. 3. Length of the condylar process was relatively shorter than opposite side after the operation. And the shape of condyle was flat in many cases. 4. The dimension of the condyle had been decreased mediolaterally and increased anteroposteriorly in most cases. And most of the condyle had been positioned anteriorly in the articular fossa.