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경증 반안면소체의 교정: 폴리에틸렌삽입술, 하악골외판절제술 및 턱끝성형술

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Author(s)
한기환차명규Kihwan HanMyungkyu Cha
Keimyung Author(s)
Han, Ki Hwan
Department
Dept. of Plastic Surgery (성형외과학)
Journal Title
대한성형외과학회지
Issued Date
2004
Volume
31
Issue
6
Abstract
Hemifacial microsomia is a condition most frequently associated with facial asymmetry. Authors have experienced eighteen patients with mild hemifacial microsomia who were classified as type IA and IB. For the correction of mandibular asymmetry, mandibular augmentation was performed on the mandibular angle of the affected side using mandibule shaped porous high-density polyethylene(Medpor(R)) in thirteen patients. Reduction mandibuloplasty was performed on the mandibular angle of the normal side using lateral cortectomy in four patients, and genioplasties were used in 2 patients. Osseous genioplasty(n=10), buccal fat removal(n=4), augmentation rhinoplasty(n=2), and onlay bone graft(n=1) as ancillary procedures were simultaneously executed. Except for 4 patients in whom the implants were removed due to exposure and infection, all other patients were satisfied with a more symmetric contour of their face. The results were clinically evaluated through ordinary scale method and photogrammetric analysis. The mean score was rated 'good' as 12.5 points, and the mean bigonial distance index and the mean gonion-midsagittal distance index were 105.20%(p=0.035) and 100.65%(p=0.368), respectively, which meant a more symmetry of the lower face. In minor asymmetry of the mandible in cases of hemifacial microsomia, augmentation with cautions of the affected side, reduction with lateral cortectomy of the mandible in the non-affected side, and an even osseous genioplasty can provide the patient with a more symmetric lower face.
Alternative Title
The Correction of Mild Hemifacial Microsomia: Polyethylene Implantation, Lateral Cortectomy, and Osseous Genioplasty
Keimyung Author(s)(Kor)
한기환
Publisher
School of Medicine
Citation
한기환 et al. (2004). 경증 반안면소체의 교정: 폴리에틸렌삽입술, 하악골외판절제술 및 턱끝성형술. 대한성형외과학회지, 31(6), 769–776.
Type
Article
ISSN
1015-6402
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/39217
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Plastic Surgery (성형외과학)
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