장골 이식을 이용한 수직 증강 이부 성형술 후의 장기간 결과

• 영문명: LONG-TERM RESULTS OF VERTICAL HEIGHT AUGMENTATION GENIOPLASTY USING AUTOGENOUS ILIAC BONE GRAFT
• 발행기관: 대한구강악안면외과학회
• 저자명: 김기정(Gi-Jung Kim) 박형식(Hyung-Sik Park) 윤규식(Kyu-Sik Yoon) 이의웅(Eui-Wung Lee) 정영수(Young-Soo Jung)
• 간행물 정보: 『대한구강악안면외과학회지』대한구강악안면외과학회지 제31권 제6호, 509~514쪽, 전체 6쪽
• 주제분류: 의약학 > 내과학
• 파일형태: PDF
• 발행일자: 2005.12.30

영문 초록

Purpose: In order to clarify the clinical utility of the vertical height augmentation (VHA) genioplasty using autogenous iliac bone graft (IBG), this study examined the postsurgical changes in hard and soft tissues of the chin and the stability of the grafted bone. Patients and Methods: Twenty-three patients who had undergone VHA genioplasty using autogenous IBG were evaluated radiographically and clinically. A comparison study of the changes in hard to soft tissues after surgery in all 23 patients was performed with preoperative, 1-month, 3-months, 6-months, and/or 1-year postoperative lateral cephalograms by tracing. Stability, bone healing, and complication of the grafted bone was evaluated by follow-up roentgenograms and clinical observation. Results: Between the preoperative and 6-month postoperative tracings, an average vertical augmentation of the osseous segment was 4.2 mm at menton and that of the soft tissue menton was 4.0 mm. There was a high predictability of 1: 0.94 between the amounts of hard versus soft tissue changes with surgery in the vertical plane. The position of the genial bone segment was stable immediately after surgery and soft tissue was not changed significantly from 1 month to 1 year after operation. Clinical and radiological follow-up results of the iliac bone graft showed normal bony union and were generally stable. Conclusions: VHA genioplasty using IBG is a reliable method for predicting hard and soft tissue changes and for maintaining postoperative soft tissue of the chin after surgery.

키워드

Vertical height augmentation genioplasty Iliac bone graft Postsurgical change Hard and soft tissue