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KMID : 0360119940160010051
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Journal of the Korean Society of Maxillofacial Plastic Reconstructive Surgeons
1994 Volume.16 No. 1 p.51 ~ p.62
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Lingual fracture technique to prevent the displacement of the proximal segment during SSRO procedure
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장헌수
우성도/김종필/안재진
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Abstract
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The sagittal split osteotomy of the mandibular ramus is a common procedure which has been used in the correction of mandibular deformities for a few decades.
Although the technical improvements have increased the reliability and stability of SSRO procedure, the postoperative relapse is imperative and clinically more significant than any other complication. One of the major causes of the relapse is due
to the
displacement of the proximal segment during SSRO procedure, which is well documented in the literature. Therefore it is important to preserve the original position of the proximal segment during SSRO proced and maxillofacial fixation period.
In the case of mandibular asymmetry, if one side of mandible is advanced and the other side of mandible is setback during SSRO procedure, the proximal segment in the advancement site will rotate laterally and the proximal segment in the setback
site
will rotate medially.
For the prevention of the lateral rotation or flaring of the proximal segment in the advancment site. we deliberately fracture the posterior protion of the distal segment in green-stick fashion during SSRO procedure, and there is no need to fix
the
fractured lingual segment. We fix the two osteotomized bony segments in the buccal cortex area rigidly with adjustable monocortical plates and screws.
During SSRO procedure the lingual fracture technique was applied to none patients with severe mandibular asymmetry who underwent orthognathic surgery in our hospital since march, 1992.
These clinical experiencies enable us to find the lingual fracture technique has the following advantages.
1. The proximal segment is displaced minimally.
2. The osteotomized bony segments are contacted intimately.
3. The postoperative relapse and the healing period are decreased.
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KEYWORD
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