CAJ | 학술논문

目的　本文回顾性调查我院1989年至1999年收治的面中份陈旧性骨折的临床资料，对外科矫治面中份骨折所致牙颌面畸形的有关问题进行探讨。方法　本组103例均为由于面中份的多发性骨折、粉碎性骨折或因各种原因未能及时治疗，骨折块之间已发生错位愈合而导致牙颌面畸形的患者，根据畸形情况采用不同的术式切开复位固定。结果　除5例张口受限、4例面部明显畸形外，其余患者对面形及咬合功能表示满意。结论　面中份陈旧性骨折牙颌面畸形外科矫治的关键是对面部纵向和横向骨支撑结构的重建以恢复其固有的高度和突度。
목적　본문회고성조사아원1989년지1999년수치적면중빈진구성골절적림상자료，대외과교치면중빈골절소치아합면기형적유관문제진행탐토。방법　본조103례균위유우면중빈적다발성골절、분쇄성골절혹인각충원인미능급시치료，골절괴지간이발생착위유합이도치아합면기형적환자，근거기형정황채용불동적술식절개복위고정。결과　제5례장구수한、4례면부명현기형외，기여환자대면형급교합공능표시만의。결론　면중빈진구성골절아합면기형외과교치적관건시대면부종향화횡향골지탱결구적중건이회복기고유적고도화돌도。
Objective．The integrity and normal position of midfacial skeleton were the basis of profile and oral function.The purpose of this article was to quest for the feasibility of surgical techniques on midfacial fracture.Methods．103 cases who had dentomaxillova cial deformities following midfacial fracture were retrospectively investigated. Results．Except for 5 cases of malocclusions and 4 cases of profile deformities,the results of surgical treatments were satisfying.Conclusion．Reconstruction of longitudinal and transverse supporting pillars of midfacial skeleton were the key procedure in management of dentom axillofacial deformities.