노인성 전신질환자에서 하악골 융기부 제거시 절개선 변형 치험: 증례보고

Abstract

The mandibular tori are removed (1) when they become so large that they cause speech impairment or difficulty in eating, (2) when the covering mucosa ulcerates as a result of trauma and fail to heal, and (3) to facilitate the construction of removable partial and complete dentures. The conventional incision for surgical removal is made on the crest of the alveolar process from the molar to the incisor region and the thin mucoperiosteal flap in reflected. The mandibular torus can be removed with a chisel & mallet and surgical burs, and its wound are closed with nonabsorbable suture materials. A stent (removable resin plate) can be useful for holding the mucoperiosteum in contact with the lingual surface of the mandible, thus minimizing swelling, hematoma & seroma. In spite of the conventional proper surgical technique, various complications (bleeding, infection, edema of tongue & mouth floor, mastication & swallowing disorder etc) are occurred because of the excessive tissue trauma, postoperative hematoma, geriatric immunocompromised systemic conditions. For the prevention of their complications, the authors devised the modified incision line of fusiform around the adjacent tissue on mandibular tori and surgical removal was accomplished by the convenient approach. The relatively good healing was resulted without postoperative severe complications, the cases were reported.