선천성 기형환자에서의 악교정수술 적용과 수술 증례 분석
Department of Oral & Maxillofacial Surgery, Yonsei University College of Dentistry
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Distraction osteogenesis and orthognathic surgery are the widely used surgical methods for treating hemifacial microsomia and cleft lip and palate, the representative forms of congenital deformity. Distraction osteogenesis is an outstanding treatment of choice when more traction is needed than what can be achieved by general orthognathic surgery. However, the stability of distraction osteogenesis has not yet been established, and in most of the cases, additional orthognathic surgery is mandatory. Moreover, the difficulty in precise control of the traction directions is another disadvantage of distraction osteogenesis. Therefore,it would be desirable not to conduct distraction osteogenesis when the patient is suitable for an orthognathic surgery. Also,distraction osteogenesis should be recognized as an accessorial method of treatment, and be used restrictively.
Abstract
Distraction osteogenesis and orthognathic surgery are the widely used surgical methods for treating hemifacial microsomia and cleft lip and palate, the representative forms of congenital deformity. Distraction osteogenesis is an outstanding treatment of choice when more traction is needed than what can be achieved by general orthognathic surgery. However, the stability of distraction osteogenesis has not yet been established, and in most of the cases, additional orthognathic surgery is mandatory. Moreover, the difficulty in precise control of the traction directions is another disadvantage of distraction osteogenesis. Therefore,it would be desirable not to conduct distraction osteogenesis when the patient is suitable for an orthognathic surgery. Also,distraction osteogenesis should be recognized as an accessorial method of treatment, and be used restrictively.
참고문헌 (18)
- Good PM, "Frequency of Le Fort I osteotomy after repaired cleft lip and palate or cleft palate", The cleft palate-craniofacial journal, 44, pp.396~ (2007)
- Bardach J, "Lip pressure changes following lip repair in infants with unilateral clefts of the lip and palate", Plastic and reconstructive surgery, 74, pp.476~ (1984)
- Marchand A, "Facial growth and the need for orthognathic surgery after cleft palate repair: literature review and report of 28 cases", Journal of oral and maxillofacial surgery, 55, pp.694~ (1997)
- Herber SC, "Orthognathic surgery in the cleft lip and palate patient", Clinics in plastic surgery, 20, pp.755~ (1993)
- Vig KW, "Orthodontic-surgical interaction in the management of cleft lip and palate", Clinics in plastic surgery, 12, pp.735~ (1985)
- Ross RB, "Treatment variables affecting facial growth in complete unilateral cleft lip and palate", The Cleft palate journal, 24, pp.5~ (1987)
- Shetye PR, "Facial growth of adults with unoperated clefts", Clinics in plastic surgery, 31, pp.361~ (2004)
- Willmar K, "On Le Fort I osteotomy; A follow-up study of 106 operated patients with maxillo-facial deformity", Scandinavian journal of plastic and reconstructive surgery, 12, pp.1268~ (1974)
- Drommer R, "Selective angiographic studies prior to Le Fort I osteotomy in patients with cleft lip and palate", Journal of maxillofacial surgery, 7, pp.264~ (1979)
- Precious DS, "Treatment of retruded maxilla in cleft lip and palate--orthognathic surgery versus distraction osteogenesis: the case for orthognathic surgery", Journal of oral and maxillofacial surgery, 65, pp.758~ (2007)
- Chua HD, "Maxillary distraction versus orthognathic surgery in cleft lip and palate patients: effects on speech and velopharyngeal function", International journal of oral & maxillofacial surgery, 39, pp.633~ (2010)
- McComb RW, "Predictors of velopharyngeal insufficiency after Le Fort I maxillary advancement in patients with cleft palate", Journal of oral and maxillofacial surgery, 69, pp.2226~ (2011)
- Macmillan AR, "The stability of the downgrafted maxilla in the cleft lip and palate patient", Ann R Australas Coll Dent Surg, 12, pp.232~ (1994)
- Heliövaara A, "Changes in soft tissue thickness after Le Fort I osteotomy in different cleft types", The International journal of adult orthodontics and orthognathic surgery, 16, pp.207~ (2001)
- Baek S, "Comparison of treatment outcome and stability between distraction osteogenesis and LeFort I osteotomy in cleft patients with maxillary hypoplasia", The Journal of craniofacial surgery, 18, pp.1209~ (2007)
- Freihofer HP, "Results of osteotomies of the facial skeleton in adolescence", Journal of maxillofacial surgery, 5, pp.267~ (1977)
- Chong DK, "Reviewing the orthognathic surgical care of the patient with cleft lip and palate: the single surgeon experience", J Craniofac Surg, 20(2), pp.1895~ (2009)
- Figueroa A, "Long-term skeletal stability after maxillary advancement with distraction osteogenesis using a rigid external distraction device in cleft maxillary deformities", Plastic and reconstructive surgery, 114, pp.1382~ (2004)