Synthes？？ 상악골 신장기를 이용한 성인 구개구순열 환자의 치험례

• 영문명: An Adult Cleft Lip and Plate Patient Using a Maxillary Distractor by Synthes？？ : Report of a case
• 발행기관: 대한구순구개열학회
• 저자명: 김준영 이부규
• 간행물 정보: 『대한구순구개열학회지』제12권 제1호, 21~31쪽, 전체 11쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2009.06.30

영문 초록

Generally, an adult cleft lip or/and palate patient shows some amount of maxillary deficiency due to limitation of bony growth caused by heavy scars resulted from previous operations such as a cheiloplasty and/or a palatoplasty at an early child age. To solve the problem, advancement of the maxilla is usually required during orthognathic surgery. However, severe tensional force resulted from heavy scars on the palate and/or the lip, as well as the bony defect at the cleft area limited sufficient advancement of the maxillary segment and finally caused relapse of the reposed maxilla. Therefore, distraction osteogenesis of the maxilla was introduced for the successful maxillary advancement in those kinds of patients. As both hard and soft tissues can be simultaneously and gradually extended with this technique, tensional force caused by heavy scars opposed to forward movement of the maxilla can be reduced to an extent not to develop severe relapse of the advanced maxilla. Since distraction osteogenesis of the maxilla was applied as one of standard protocols for the treatment of the patients with severe maxillary hypoplasia due to cleft lip and/or palate, the devices for the distraction was improved to control the vectors of distraction with better and more stable. We have treated a 23-year-old male cleft patient with a severe maxillary hypoplasia using a newly developed a maxillary distraction device and a RP model for a pre-operative simulation surgery. As a result, we could successfully move the maxilla as we designed pre-operatively and also reduce much of operation time. Therefore, we report of the case to share our experience with colleagues.

목차

ABSTRACT

Ⅰ. 서론

Ⅱ. 증례 보고

Ⅲ. 고찰

Ⅳ. 결론

참고문헌

키워드

Distraction Osteogenesis Cleft lip Cleft palate Distraction Maxillary Hypoplasia