TREATMENT OF CONDYLE FRACTURE WITH RESORBABLE SCREW

흡수성 스크류를 이용한 하악과두 골절의 치료

  • Yeo, In-Bum (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Wonkwang Univ) ;
  • Min, Seung-Ki (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Wonkwang Univ) ;
  • Oh, Sung-Hwan (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Wonkwang Univ) ;
  • Kwan, Kyung-Hwan (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Wonkwang Univ) ;
  • Choi, Sang-Moon (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Wonkwang Univ) ;
  • Park, Sang-Kyu (Dept. of Oral & Maxillofacial Surgery, College of Dentistry, Wonkwang Univ)
  • 여인범 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 민승기 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 오승환 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 권경환 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 최상문 (원광대학교 치과대학 구강악안면외과학교실) ;
  • 박상규 (원광대학교 치과대학 구강악안면외과학교실)
  • Published : 2006.12.31

Abstract

According to the development of operation technique and biologic materials, oromaxillofacial surgery department have used many kinds of metal and biologic materials in ORIF and plastic surgery. In maxillofacial fracture, ORIF with metal plate and screw have short healing period and good prognosis. But ORIF with metal materials have many complications as maxillofacial abnormal growth, screw loosening, bone malunion. And metal materials have not used in infection site. The purpose of this study is to evaluate the clinical value of 10 condylar fracture patients operated with absorbable screw at Wonkwang university. Ten patients(8 males, 2 female, mean aged 28) who had mandibular condyle process fracture treated with PLLA implants(poly-l-lactide) was recalled for follow-up clinical and radiologic examination for 10 years. Mouth opening recorvered to more than 35mm and occlusion was stable in all patients. All fractured mandibular condyles showed anatomic good reduction and long-term stability with the use of resorbable miniplates and screw. Bone healing was satisfactory in all patients, and there was no evidence of abnormal resorption of condylar process.

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