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논문 기본 정보

자료유형
학술저널
저자정보
Aditi Sharma (경북대학교) 팽준영 (경북대학교) Tomohiro Yamada (Kyushu University) 권대근 (경북대학교)
저널정보
대한악안면성형재건외과학회 Maxillofacial Plastic Reconstructive Surgery Maxillofacial Plastic Reconstructive Surgery 제38권 제3호
발행연도
2016.3
수록면
1 - 6 (6page)
DOI
10.1186/s40902-016-0058-0

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Background: Temporomandibular joint (TMJ) ankylosis can be accompanied by various degrees of functional andesthetic problems. Adequate mouth opening, occlusal stability, and harmonious facial form are the main goals oftreatment for ankylosis. Distraction osteogenesis has proven to be an excellent treatment for lengthening theramus-condyle unit. However, various timings for distraction have been suggested, and there is no consensus onselection criteria for performing the procedure in stages or simultaneously with other treatments. Case presentation: In this case report, concomitant intraoral distraction and gap arthroplasty was planned to treatTMJ ankylosis and associated facial asymmetry. After gap arthroplasty and 23 mm of distraction, the ramus-condylesegment was successfully lengthened and mouth opening range was significantly increased. The resultant interocclusalspace was stably maintained with an occlusal splint for 4 months after distraction. Finally, good occlusion was achievedafter prosthetic treatment. The remaining mandibular asymmetry was corrected with osseous contouring andaugmentation surgery. The mouth-opening range was maintained at 35 mm 24 months after treatment. Conclusion: Gap arthroplasty with intraoral distraction as a one-stage treatment and subsequent contouringsurgery can be applied to correct ankylosis with moderate malocclusion and facial asymmetry. intraoral distraction and secondarycontouring surgery for unilateraltemporomandibular joint ankylosis

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