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RISS 인기검색어
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- 저자 : Il Woo Nam(南日祐) (검색결과 74 건)
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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
'스콜라' 이용 시 소속기관이 구독 중이 아닌 경우, 오후 4시부터 익일 오전 9시까지 원문보기가 가능합니다.
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.
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