구내 하악골 상행지 수직 골절단술 후 기능적 물리치료에 대한 환자 적응도 및 개교합 성향

• 영문명: Adaptability & openbite tendency in early fuctional physiotherapy afte IVRO of the mandibular prognathism
• 발행기관: 대한구강악안면외과학회
• 저자명: 박형식(Hyung Sik Park) 허진영(Jin Young Huh)
• 간행물 정보: 『대한구강악안면외과학회지』대한구강악안면외과학회지 제23권 제1호, 27~33쪽, 전체 7쪽
• 주제분류: 의약학 > 내과학
• 파일형태: PDF
• 발행일자: 1997.01.30

영문 초록

IVRO is a popular procedure to setback prognathic mandible. But guided functional physiotherapy after IVRO is the most important factor to get successful result, because there have been some concerns over an openbite tendency following this procedure. The purpose of this study is to evaluate the early adaptability to fuctional phsiotherapy and early openbite tendency associated with the kinds of surgery performed. The study was performed in fifty patients who had received bilateral IVRO from 1993 to 1994. After two weeks of maxillomandibular fixation(MMF), active physiotherapy was carried out according to Park s protocol and detail of openbite tendency was checked. We recorded the number of days for physiotherapy to analzye the adaptability in early physiotherapy until there was no more openbite tendency. The following results were obtained. 1. The adaptability in early physiotherapy to prevent openbite tendency following IVRO was more favorable in two-jaw surgery group than one-jaw surgery group.(p<0.005) 2. The adaptability in early physiotherapy was more favorable in lesser mandibular setback group than larger setback group, but there was no statistical significance. (p<0.05). 3. The adaptability in early physiotherapy was more favorable in posterior impaction group than non-posterior impaction group, but there was no statistical significance.(p<0.05). 4. The cases which MMF was applied again because of the strong openbite tendency were more plentiful in one-jaw surgery group than in two-jaw surgery group. 5. First two or three days after releasing of maxillomandibular fixation might be the critical period to prevent anterior openbite tendency, and if the partient shows strong openbite tendency during this period, 4-5 days of reapplication of MMF was enough to prevent openbite tendency.

목차

Abstract

I. 서론

II. 연구 대상 및 연구 방법

III. 연구 결과

IV. 총괄 및 고찰

V. 결론

참고문헌

키워드

Mandibular ramus Vertical osteotomy Openbite Functional Physiotherapy mandibular prognathism