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      • KCI등재

        구내신연장치를 이용한 치조골증대술 후 임프란트 매식 - 치험 5 예

        박홍주(Hong Ju Park),송종운(Jong Woon Song),박충열(Choong Youl Park),오희균(Hee Kyun Oh),유선열(Sun Youl Ryu),이용욱(Yong Uk Lee),김영운(Young Woon Kim) 대한악안면성형재건외과학회 2002 Maxillofacial Plastic Reconstructive Surgery Vol.24 No.1

        Successful alveolar ridge augmentation by distraction osteogenesis method has been reported previously. There are several types of devices for alveolar ridge augmentation. In this paper, a new intraoral distraction device was used on the severe atrophic mandible in order to distract an alveolar ridge vertically in 5 patients. Mean amount of distracted alveolar ridge was 7.4mm (5~9.5mm). Dental implants were placed in the distracted alveolar bone and good osseointegration was obtained in all patients. Mean follow up period is 2years 6months (7months~4years 9months). No complications, such as infection or resorption was observed in all patients. Alveolar ridge augmentation by gradual distraction seems to be a safe, simple and reliable procedure.

      • KCI등재후보

        외과적 보조의 급속상악확장술 : 치험 5예 REPORT OF 5 CASES

        박충열,이용욱,송종운,김영운,박홍주,오희균,유선열,이기현,황현식 대한악안면성형재건외과학회 2002 Maxillofacial Plastic Reconstructive Surgery Vol.24 No.1

        Five adults (3 cases of bilateral posterior crossbite, 2 cases of unilateral posterior crossbite) with intermaxillary discrepancy of over 5㎜ due to maxillary transverse deficiency were treated by surgically assisted rapid maxillary expansion (SARME). Bilateral maxillary horizontal osteotomies, osteotomies of pterygomaxillary junction and anterior lateral nasal wall, ans anterior palatal osteotomy were performed in 4 cases, and unilateral osteotomies in 1case, followed by palatal expansion with tooth-borne orthopedic applicance. No significant complication was observed. The mean palatal expansion was 7.2㎜ (5.8∼10.0㎜) in the maxillary first molar region. During the mean follow-up period of 4 years (5 months∼8 years 7 months), no recurrence of crossbite was observed in all cases. The SARME seemed to be a simple, stable, and reliable procedure for achieving a permanent increase of over 5㎜ in skeletal maxillary transverse width of adults.

      • 하악과두 골절에 대한 임상통계학적 연구

        박충열,김병국 전남대학교 치의학연구소 2001 구강과학 Vol.13 No.3

        The present study was aimed to aid the diagnosis and choose the approrpiate treatment method of the fracture. This is the retrospective clinicostatistical study about 87 patients who were treated about condylar fractures for recent 4 years from Apr. 1, 1996 to Apr. 30, 2000 in Chonnam National University Hospital and can be followed up reguarly. In the incidence of fractures, subjects in the twenties has highest incidence and male has 4.1 time higher prevalance than in female. The fracture was at the highest incidence in September. The most common cause of the fracture was traffic accident (40.2%), and in case of middle facial concomitant injuries, laceration was 45.1% and the fracture of symphysis was 57.1% in lower facial injuries. The most common site of the fracture was the condylar neck, followed by subcondye and condylar head in order. patients aged under 11 years were treated closed reduction which was 100% and for those aged over 19 years, open reduction (68%) was preferred. Most of them were fixed with metal miniplate in case of open reduction. The average period of fixation was 9.8 days, of which was 11.8 days for closed reduction and 8.5 days for open reduction. The average maximal mouth opening was lower in case of open reduction than in closed reduction in condylar head fracture. Closed reduction and direct fixation with Risdon showed better functional recovery than in SVRO cases. The complications like fibrous ankylosis and bone resorption of TMJ was happened in the case of open reduction with SVRO. These results suggest that the condylar fracture will be treated with closed reduction if patients are growing children and the fractured condyle was not displaced, otherwise the open reduction will be preferred. The closed reduction and the direct fixation with Risdon method showed better functional recovery than in SVRO method.

      • KCI등재후보

        구내신연장치를 이용한 치조골증대술 후 임프란트 매식 : 치험 5예 REPORT OF 5 CASES

        이용욱,박충열,송종운,박홍주,김영운,오희균,유선열 대한악안면성형재건외과학회 2002 Maxillofacial Plastic Reconstructive Surgery Vol.24 No.2

        Successful alveolar ridge augmentation by distraction osteogenesis method has been reported previously. There are several types of devices for alveolar ridge augmentation. In this paper, a new intraoral distraction device was used on the severe atrophic mandible in order to distract an alveolar ridge vertically in 5 patients. Mean amount of distracted alveolar ridge was 7.4㎜ (5∼9.5㎜). Dental implants were placed in the distracted alveolar bone and good osseointegration was obtained in all patients. Mean follow up period is 2years 6months (7months∼4years 9months). No complications, such as infection or resorption was observed in all patients. Alveolar ridge augmentation by gradual distraction seems to be a safe, simple and reliable procedure.

      • KCI등재

        구개부에 발생한 다형선종의 처치

        하주원,백승,송종운,박충열,이용욱,박홍주,오희균,유선열,김옥준 大韓顎顔面成形再建外科學會 2001 Maxillofacial Plastic Reconstructive Surgery Vol.23 No.6

        Pleomorphic adenoma of the palate is the most common of all intraoral salivary tumors. It can occur at any age but it presents most commonly in the 40∼60 age group, and there is no significant sex preponderance. It grows slowly and is usually painless, firm, well-circumscribed nodule. Because of high rate of recurrence, extra-capsular excision including the overlying mucosa and margin of normal tissue is recommended. We report 10 cases of palatal pelomorphic adenoma which have been successfully treated by extra-capsular excision. The surgical defects smaller than 3㎝ in diameter were covered with palatal acrylic splint for the secondary healing. The larger defects were repaired using palatal island flap in 3 cases, rotation flap and buccal fat graft in each 1 case. No patient showed any recurrence or malignant change during the mean follow-up period of 4 years and 9 months. These repair methods seem to be simple, reliable and uncomplicated procedures in the palatal surgical defects.

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