구순 - 치조열 파열환자에서 르포씨 1형 전진 - 전방 전진의 한계점

• 영문명: Le Fort I advancement in cleft patient - limitation of maximum advancement
• 발행기관: 대한구순구개열학회
• 저자명: 김동영 안강민
• 간행물 정보: 『대한구순구개열학회지』제20권 제1호, 41~48쪽, 전체 8쪽
• 주제분류: 의약학 > 일반외과학
• 파일형태: PDF
• 발행일자: 2017.06.30

영문 초록

Midfacial depression after cleft lip and palate surgery is one of the most common complications after cleft surgery. Scar contracture during growth periods limits further development of the maxilla. Typical treatment protocol is using orthognathic surgery usually by bi-jaw surgery. Maxillary advancement and mandibular setback surgery are most common procedures for correction of midfacial depression. Cleft patients usually present with normal mandibular growth. Mandibular setback surgery is not indicated for cleft patient with normal mandibular growth and development. In this case report, a 26-year-old cleft patient presented to correct maxillary depression and anterior cross bite. Maxillary overjet was -8mm after preoperative orthodontic treatment. At least 14 mm advancement was required to compensate postoperative relapse. Patient showed normal pattern of growth in the mandible. Patient reclined to receive distraction osteogenesis or mandibular setback surgery. Le Fort I advancement of 14mm was performed and fixed with miniplates with ramal bone graft. Postoperative relapse was 2mm in anterior-posterior direction.

목차

ABSTRACT

Ⅰ. 서론

Ⅱ. 증례보고

Ⅲ. 고찰

Ⅳ. 결론

참고문헌

키워드

Le Fort I cleft lip and palate orthognathic surgery maxilla hypoplasia