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하악지 시상분할골절단술시 과두위치 유지를 위한 간편계측의 술후경과
류동목,이상철,김여갑,이백수,박종오 대한악안면성형재건외과학회 2000 Maxillofacial Plastic Reconstructive Surgery Vol.22 No.6
This study was intended to evaluate condyle position using simple ruler method in sagittal split ramus osteotomy for mandibular setback in 15 patients by paired t-test. We used oblique transcranial radiographs taken before operation and immediate after operation. And we concluded as follows ; 1.The joint spaces changed under 0.2mm were 21.2%, 0.2mm to 1.0mm were 67.7%, above 1.0mm were 11.1%. 2.The mean changes of AJS, SJS, PJS were all increased and SJS was most changed of them, but there is no statistically significant change in SJS. 3,Comparing the preop. measurements with the postop. ones, there is no statistically significant changes in over all joint spaces (P>0.05)
류동목,박기범,이상철,김여갑 대한악안면성형재건외과학회 2002 Maxillofacial Plastic Reconstructive Surgery Vol.24 No.4
Ossifying fibroma is a neoplasm representing one of the benign fibro-osseous lesions of the jaw. ossifying fibroma has been designated as a demarcated, occasionally encapsulated lesion consisting of fibrous tissue that contains variable amounts of mineralized material resembling abnormal bone or cementum-like tissue. most of them are solitary and show slow, often expansile growth centrally within the jaws and characteristrically behave in a benign fashion. But, rarely they occur as a multiple and in a gigantic form exhibiting an aggressive nature. We has a case of multiple ossifying fibroma showing rapid-growing behavior and sequential occurrence in all four jaw quadrants resulting in severe facial deformity and orbital compression. therefore such a rare case is reported here.
류동목,김주동,김여갑,이백수,오정환,권용대,최근락 대한악안면성형재건외과학회 2004 Maxillofacial Plastic Reconstructive Surgery Vol.26 No.5
Guillain-Barre syndrome(GBS) was reported by Landry in 1859. GBS, called acute inflammatory polyneuritis, is a disorder in which the body's immune system attacks parts of the his or her own peripheral nervous system. The GBS is characterized by symmetrical rapidly ascending paralysis that ocasionally leads to respiratory embarrassment and death. The causes and mechanisms of this syndrome are unknown yet. The typical GBS could be diagnosed by the patient's symptoms and physical exams like rapid onset of weakness, paralysis and loss of reflex. For the diagnosis of the analysis of CSF and electrical test of nerve and muscle function can be performed. Most of casese usually occur shortly after viral infection. It is not sure, but plasma exchange, intravenous immunoglobulin, and corticosteroids are generally used for the treatment of GBS.This is a case report of a patient with GBS. He was in accidently coincident with tooth extraction of right mandible 3rd molar. The patient had a past history of acute collitis and influenza before tooth extraction.
오승환,이상철,윤옥병,지유진,김여갑,류동목 大韓顎顔面成形再建外科學會 1996 Maxillofacial Plastic Reconstructive Surgery Vol.18 No.3
Eagle's syndrome is the term given to symtomatic elogation of the styloid process or mineralization of the stylohyoid or stylomandibular ligament. Since ossification of stylohyoid ligament at cadeva was fist described by De Manchetics in 1652 and Weinlecher described clinical symptom which produced by elongated styloid process and osteotomy of styloid process in 1872, Clinical symptom which include sensation of a foreign body on the pharynx, dysphagai, dysphonia, referred pain, and mouth opening disturbance was termed by Eagle as Eagle's syndrome. then, case reports of Eagle's syndrome are presented. in these cases, the patient's chief complaints included periauricular radiating pain, mouth opening disturbance, foreign body sensation, dysphagia, tenderness on the neck. Through vairous X-ray examination and palpation of tonsillar fossa, elongted styloid process were confirmed. Under the general anesthesia there were successfully removed out via transoral approach technique, described by Eagle. after resented styloid process, they were freed from the symptoms without further complication. Therefor we reported these cases treated by surgical resection of styloid process with good results.