- A case report of hemifacial microsomia.
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Chang Kon Lee, Myung Jin Lee, Jong Sup Kim, Jin Ho Park, Byung Rho Chin, Hee Kyung Lee
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Yeungnam Univ J Med. 1993;10(1):218-225. Published online June 30, 1993
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DOI: https://doi.org/10.12701/yujm.1993.10.1.218
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Abstract
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- This is a case report and review of literature that deals with hemifacial microsomia corrected by costochondral graft, Lefort I osteotomy and bilateral intraoral sagittal split ramus osteotomy. Patient, 23 years old female, had visited to treat the esthetic problem due to a deviation of jaw. On the basis of clinical and radiographic examinations, she was diagnosed as hemifacial microsomia. First, costochondral graft was performed to bridge the defect between glenoid fossa and body of mandible. After 11 months,. Patient was performed a Lefort I osteotomy and bilateral intraoral sagittal split ramus osteotomy to create a symmetric jaw. Patient was satiesfied with final esthetics and there have been no evidence of infection ill now.
- A case of orthognatic surgery in congenital alveolar-palatal cleft patient.
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Jae Hyun Park, Myung Jin Lee, Chang Kon Lee, Jong Sub Kim, Byung Rho Chin, Hee Kyung Lee
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Yeungnam Univ J Med. 1992;9(1):189-196. Published online June 30, 1992
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DOI: https://doi.org/10.12701/yujm.1992.9.1.189
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Abstract
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- Pre-surgical and post-surgical change in adult clef lip and palate patient following Le Fort I advancement osteotomy combined with bone graft was evaluated clinically and cephalometically. We obtained a successful function and esthetic improvement. The bone graft of alveolo-palatal clefts provides a stable bone support to the adjacent teeth of the cleft area, and well union of adjacent bone tissue, the closure of oronasal fistula and improvement of speech problem. Le Fort I osteotomy following the ostectomy of nasal septum for advancement of the maxilla was obtained relative improvement of esthetics and functional occlusion. 1. The orthodontic correction was required before and after surgery. 2. In this case, there was a limited range of anterior advancement of the Premaxillary-segment due to the scar tissue. 3. After 8 months of operation, we could show the new bone deposition on the cleft sites in dental radiograph and then the prosthetic treatment to the missing teeth was done.
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