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박노부,서연호,문선혜,이용오,Park, No-Bu,Seo, Yeon-Ho,Moon, Seon-Hye,Lee, Yong-Oh 대한악안면성형재건외과학회 1993 Maxillofacial Plastic Reconstructive Surgery Vol.15 No.2
저자들은 두개저 골절을 동반하지 않은 단순 안면골 골절환자에서 본과에서 안면골 정복 수술후 발현한 외상성 경동맥해변동루 환자를 신경외과에 의뢰하여 분리풍선술식으로 처치한 후 현저한 임상적 증상의 개선을 가져왔고 12개월간 관찰시 다른 합병증도 유발되지 않았다. 외상성 경동맥해면동루는 두경부 손상시 매우 드물게 발생되는 심각한 합병증으로 임상증상의 복잡성 때문에 혼동하기 쉬으므로 Neurosurgeon과 협조하여 조기에 정확한 진단과 적절한 치료가 이루어지는 것이 바람직하다. Carotid-cavernous sinus fistula(CCSF) is an abnormal arterio-venous communication between the cavernous sinus and the internal carotid artery. It is usually caused by craniofacial trauma and a very rarely encountered complication, but it may also occur spontaneously. The most common cause of traumatic CCSF is blunt trauma, which usually associated with a skull base, frontal or midfacial fracture. The common clinical feature of CCSF are orbital bruit, headache, exophthalmos, chemosis, diplopia, visual disturbance and others. This dramatic ocular-orbital symptoms are principally due to orbital venous hypertension. The symptoms occured within a few hours to a maximum of a year after injury, usually within several weeks. The patient, 33-year-old female, developed a carotid-cavernous sinus fistula after only minimal closed trauma We present a rare case of CCSF associated facial bone fracture that was successfully treated by detachable balloon embolization with a review of the literature.
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이용오(Yong Oh Lee),문선혜(Seon Hye Moon),서헤경(Hye Kyung Suh),장희숙(Hee Suck Jang),사공억(Uck Sa Gong),박노부(No Bu Park) 대한구강악안면외과학회 1993 대한구강악안면외과학회지 Vol.19 No.1
Gingival fibromatosis which represents a fibrous hyperplasia of the gingival tissue is relatively uncommon benign oral condition. Characteristically, the firm enlarged gingival tissue often obscure the anatomic crowns of the teeth. They may deform palatal contours and subsequently crowd the tongue with a resultant interferance in speech and mastication as well as inability to maintain normal lip closure. Numerous examples not accompanied by ingestion of dilantin sodium, hypertrichosis, hereditary factors, cherubism, or ectodermal dysplasia have been generally labeled idiopathic . Although it has been stated that the treatment of choice is surgical removal of the enlarged tissues, there is a tendency for the condition to recur within a few years. The patient, 21-year-old female, was admitted to department of dentistry, Dong San Hospital, Keimyung University with the chief complaint of mastication difficulty and cosmetic problem-elephantiasis gingivae. She showed severe fibrous enlargement of maxillary and mandibular attached and nonattached gingivae. The gingival tissues generally were firm and dense, and the teeth were covered with dense, fibrous tissues, and this tissues may interfere with eruption. There was an operation history of excision of excessive gingival enlargement at five year old. She was diagnosed empty sella syndrom with partial hypopituitarism at endocrine tests. We got the good results in esthetics and functions by extraction of all teeth and surgical excision of the hyperplastic gingival tissue followed by complete dentures.
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최봉주,박노부,박효상 啓明大學校 醫科大學 1996 계명의대학술지 Vol.15 No.3
It is very difficult to diagnose the facial asymmetry, that is, difficult to determine what part of problem is major cause to treatment. The three dimensional CT developed recently can provide excellent three dimensional image of soft and hard tissue, thus authors decided to determine the possibility of three dimensional CT for the diagnostic means for facial asymmetry. The patient, 19 year old female, had anterior edgebite with deviated dental midline and mild concave profile and was diagnosed as facial asymmetry with skeletal asymmetry and functional displacement of mandible by using three dimensional CT. The orthodontic and orthognathic procedure were performed. The following results were obtained. The facial asymmetry was favorably corrected. The favorable facial profile was achieved. The harmonious occlusion was obtained. The three dimensional CT will provide useful guide for skeletal abnormality and will be good diagnostic means for facial asymmetry. However, the appropriate analysis method is not established, it will be further needed.
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서연호,서혜경,문선혜,박노부,이용오 啓明大學校 醫科大學 1993 계명의대학술지 Vol.12 No.2
저자등은 악교정수술후에 발생하는 희귀성향에 관한 연구를 위하여 계명대학교 의과대학 치과학교실에 내원하여 하악전돌증으로 진단되어 하악후퇴술을 받은 7명의 환자를 대상으로 하여 수술전, 후의 경조직의 변화를 계측, 분석하여 다음과 같은 결과를 얻었다. 수술직후 Gn(H)는 평균 8.2mm 후방이동되었고 SNB는 평균 4.4 감소하였다. SNB는 장기간 경과후 수술직후보다 평균 0.9 증가되었으며 21.1%의 희귀율을 나타내었다. Gn(H)는 장기간 경과후 수술직후보다 6례에서 평균 1.3mm 전방희귀되었으며 나머지 1례에서 4mm 후방이동되었다. SN-MP 및 gonial angle 은 장기간 경과후 수술 직후보다 각각 평균 2.2 ,5.8 증가되었다. Gn(V)는 장기간 경과후 수술직후와 비교하여 변화가 없는 경우가 4례, 증가 2례, 감소 1례로 나타났다. 상하악 중절치는 장기간 경과후 수술직후보다 각각 순측 혹은 설측으로 경사되었다. This study was undertaken to examine relapse tendency after mandibular setback. Seven cases were selected from patients who underwent orthodontic treatment and mandibular setback surgery in our department. The serial lateral cephalogram of each patient were obtained and analyzed: The result were as follows; 1. By operation, Gn(H) moved backward (average 8.2mm), SNB angle decreased(average 4.4˚). 2. When the long term follow-up measurements were compared with the immediate postop, mesurements. ·SNB angle increased on average by 0.9˚and relapse tate was 21.1%. ·GN(H) returned foward on average by 1.3mm in 6 cases, moved backward by 4mm in 1 case. ·SN-MP and gonial angle increased on average by 2.2˚, 5.8˚respectively. ·Gn(V) stayed unchanged in 4 cases, increased in 2 cases, decreased in 1 case. ·Upper and lower incisors slightly moved labially or lingually.
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