학술논문
成長期 患者의 下顎頭 骨折時 顎關節의 再形成에 關한 考察
이용수 0
- 영문명
- TMJ REMODELING AFTER CONDYLAR FRACTURE IN A GROWING CHILD : Report of a Case & Review Literature
- 발행기관
- 대한구강악안면외과학회
- 저자명
- Sang Chull Lee(李相喆) Yeo Gab Kim(金麗甲) Jae Hee Ahn(安在羲) Seon Sik Kong(孔宣植) Hyoun Chull Kim(金賢哲)
- 간행물 정보
- 『대한구강악안면외과학회지』대한구강악안면외과학회지 제10권 제2호, 81~90쪽, 전체 10쪽
- 주제분류
- 의약학 > 내과학
- 파일형태
- 발행일자
- 1984.12.30
4,000원
구매일시로부터 72시간 이내에 다운로드 가능합니다.
이 학술논문 정보는 (주)교보문고와 각 발행기관 사이에 저작물 이용 계약이 체결된 것으로, 교보문고를 통해 제공되고 있습니다.
국문 초록
영문 초록
This is a case report that deals with TMJ remodeling after both condylar fractures in a puberty child.
Patient, 14 years old boy, was referred to our department from local hospital for the evaluation of the traumatic injuries on the face which was developed by traffic accident 10 days ago.
On the basis of clinical and radiographic examinations, he was diagnosed as both mandibular condyles and symphysis fractures, right maxillary alveolar fracture, and multiple teeth injury.
The mandibular and maxillary fractures were treated with closed reduction and intermaxillary fixation with arch bar and multiple loop wiring. IMF was applied for two weeks and early movement of jaw was carried out to prevent TMJ ankylosis. Endodontic and prosthodontic treatments were performed for the restoration of the missing teeth. Patient was examined periodically for the evaluation of TMJ function and remodeling.
On the 10th day after trauma (on the admission day), the intracapsular both condylar fractures were observed in the panormaic view. The both fragments were displaced anteriorly which were located below the articular emnences. The contour of fragments was superimposed with condylar stump in the panormaic view. In the P-A mandible view, both fragments was slightly displaced to the medial side.
On the 3rd week after trauma (after removal of IMF), the contour of condylar fragments were slightly disappeared and the radiopacity of both TMJ was observed, but the sigmoid notches and coronoid processes were seen as normal contour.
On the 3rd month after trauma, the fragments of condylar heads resorbed completely and the articular surfaces of condyle became round in shape. Both coronoid processes were elongated and the articular space was observed distinctly.
On the 9th month after trauma, condylar processes similar to normal were repositioned anterior to glenoid fossae. The deepening of sigmoid notch and elevation of coronoid process to zygomatic arch were noted. Articular fossa became to be shallow and articular eminence was flattened.
On the 18th month after trauma, the complete resorption of condylar fragments and remodeling of condyle were observed. Deepended sigmoid notch and elongated coronoid process were apparently recognized. Condylar heads were repositioned anterior to articular fossae in the panoramic view. In the P-A mandible view, left condyle was seen as normal, but the neck portion of right condyle was markedly curved to lateral side.
In spite of the changes of TMJ function and structures, viz elongation of coronoid process, deepending of sigmoid notch, flattening of articular fossa and eminence, and anterior repositioning of condylar process, patient complained nothing and could function absolutely.
목차
ABSTRACT
Ⅰ. 서론
Ⅱ. 증례보고
Ⅲ. 총괄 및 고찰
Ⅳ. 결론
참고문헌
키워드
해당간행물 수록 논문
- 폐결핵에 의한 악안면부 이차성 결핵병소의 치험예
- 成長期 患者의 下顎頭 骨折時 顎關節의 再形成에 關한 考察
- 翼突窩部에 發生된 粘液腫의 治驗例 및 文獻考察
- 下顎骨에 發生한 良性白堊芽細胞腫의 治驗例
- 가토 하악골에 이식한 Durapatite의 조직학 및 주사전자현미경적 연구
- SURGICAL EXTIRPATION OF ACINIC CELL ADENOCARCINOMA OF THE PAROTID GLAND
- A SURGICAL CORRECTION OF TMJ INTERNAL DERANGEMENT
- BONE PEG FIXATION IN THE TREATMENT OF MANDIBULAR FRACTURES
- 조대술을 이용한 소아의 상악골에 발생한 함치성 낭종의 치험예
- 하악전돌증의 악교정수술후 안면연조직 변화에 관한 연구
- A CASE REPORT OF THEETH EXTRACTION IN HEMOPHILIA BCHRISTMAS DISEASE PATIENT
- 口腔外科 手術의 初期合倂症에 關한 臨床 및 統計的 硏究
- 할로탄 전신 흡입마취중 국소 투여된 에피네프린이 심맥관계에 미치는 영향에 관한 임상적 고찰
- 兩顎 齒槽前突의 矯正-外科的 複合顎矯正 2例
- A CLINICAL STUDY ON THE INTENTIONAL REPLANTATION OF TEETH
- 舌側骨分割術에 依한 下顎埋伏智齒 拔去後 合倂症에 關한 硏究
- Le Fort Ⅰ골 절단술에 의한 악교정 수술후 연조직 변화에 관한 연구
- 口腔外科侵襲에 依한 體溫變動에 關한 硏究
- 우(牛) 하악골의 천공시 발생하는 마찰열에 관한 실험적 연구
- ANGIOLYMPHOID HYPERPLASIA WITH EOSINOPHILIA
- 발치와에 매식한 Hydroxylapatite의 조직반응에 관한 실험적 연구
- 齒科用 石膏가 家兎의 顎骨損傷部 治癒에 미치는 影響
- 성견악하선에서 Na⁺, K⁺-activated Adenosine Triphosphatase에 대한 실험적 연구
- Hamster 협낭점막 DMBA-유도 구강상피암의 二相발암과정(Two-Phase Carcinogenesis)에 관한 세포학적 연구
- 구강저부와 혀의 기저부에 발생한 하마종
- 쇄골 안면골 이골증의 증례보고
- A CASE OF LOW GRADE MALIGNANT MUCOEPIDERMOID CARCINOMA
참고문헌
관련논문
의약학 > 내과학분야 BEST
- Zirconia abutment의 활용 Part I
- 임플란트 주위염의 진단과 치료
- Tetracycline & Er-YAG laser 을 이용한 오염된 임플란트 표면의 처치를 통한 임플란트 주위염의 외과적 치료에 대한 증례보고
의약학 > 내과학분야 NEW
- Temporomandibular joint injection therapy
- Comparison of the effects of two different styles of orally prescribing prednisolone on postoperative sequelae of surgical extraction of an impacted mandibular third molar: a single-blind randomized study
- Central giant-cell granuloma in a patient with neurofibromatosis type 1: 7 years of follow-up
최근 이용한 논문
교보eBook 첫 방문을 환영 합니다!
신규가입 혜택 지급이 완료 되었습니다.
바로 사용 가능한 교보e캐시 1,000원 (유효기간 7일)
지금 바로 교보eBook의 다양한 콘텐츠를 이용해 보세요!