1.A Study on the Prediction of Hard and Soft Tissue Changes after Setback Genioplasty
Jung Eun YANG ; Il Kyu KIM ; Hyun Young CHO ; Sang Hyun JU ; Young Hoon PYEON ; Bum Sang JUNG ; Sang Pill PAE ; Hyun Woo CHO
Journal of the Korean Association of Maxillofacial Plastic and Reconstructive Surgeons 2012;34(6):413-420
Genioplasty
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Humans
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Incisor
;
Molar
;
Osteotomy
;
Surgery, Oral
2.Histomorphometric Analysis on Bone Formation Effect of Beta-tricalciumphosphate around Dental Implants in Rabbit Mandibular Body: Pilot Study
Young Hoon PYUN ; Il Kyu KIM ; Hyun Young CHO ; Sang Hyun JU ; Bum Sang JUNG ; Sang Pill PAE ; Hyun Woo CHO
Journal of the Korean Association of Maxillofacial Plastic and Reconstructive Surgeons 2013;35(5):294-301
3.Assessment of the autogenous bone graft for sinus elevation.
Wang PENG ; Il Kyu KIM ; Hyun Young CHO ; Sang Pill PAE ; Bum Sang JUNG ; Hyun Woo CHO ; Ji Hoon SEO
Journal of the Korean Association of Oral and Maxillofacial Surgeons 2013;39(6):274-282
OBJECTIVES: The posterior maxillary region often provides a limited bone volume for dental implants. Maxillary sinus elevation via inserting a bone graft through a window opened in the lateral sinus wall has become the most common surgical procedure for increasing the alveolar bone height in place of dental implants in the posterior maxillary region. The purpose of this article is to assess the change of bone volume and the clinical effects of dental implant placement in sites with maxillary sinus floor elevation and autogenous bone graft through the lateral window approach. MATERIALS AND METHODS: In this article, the analysis data were collected from 64 dental implants that were placed in 24 patients with 29 lacks of the bone volume posterior maxillary region from June 2004 to April 2011, at the Department of Oral and Maxillofacial Surgery, Inha University Hospital. Panoramic views were taken before the surgery, after the surgery, 6 months after the surgery, and at the time of the final follow-up. The influence of the factors on the grafted bone material resorption rate was evaluated according to the patient characteristics (age and gender), graft material, implant installation stage, implant size, implant placement region, local infection, surgical complication, and residual alveolar bone height. RESULTS: The bone graft resorption rate of male patients at the final follow-up was significantly higher than the rate of female patients. The single autogenous bone-grafted site was significantly more resorbed than the autogenous bone combined with the Bio-Oss grafted site. The implant installation stage and residual alveolar height showed a significant correlation with the resorption rate of maxillary sinus bone graft material. The success rate and survival rate of the implant were 92.2% and 100%, respectively. CONCLUSION: Maxillary sinus elevation procedure with autogenous bone graft or autogenous bone in combination with Bio-Oss is a predictable treatment method for implant rehabilitation.
Alveolar Bone Grafting
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Bone Resorption
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Dental Implants
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Female
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Follow-Up Studies
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Humans
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Male
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Maxillary Sinus
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Rehabilitation
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Sinus Floor Augmentation
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Surgery, Oral
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Survival Rate
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Transplants*
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Transverse Sinuses
4.Tibial bone fractures occurring after medioproximal tibial bone grafts for oral and maxillofacial reconstruction.
Il Kyu KIM ; Hyun Young CHO ; Sang Pill PAE ; Bum Sang JUNG ; Hyun Woo CHO ; Ji Hoon SEO
Journal of the Korean Association of Oral and Maxillofacial Surgeons 2013;39(6):257-262
OBJECTIVES: Oral and maxillofacial defects often require bone grafts to restore missing tissues. Well-recognized donor sites include the anterior and posterior iliac crest, rib, and intercalvarial diploic bone. The proximal tibia has also been explored as an alternative donor site. The use of the tibia for bone graft has many benefits, such as procedural ease, adequate volume of cancellous and cortical bone, and minimal complications. Although patients rarely complain of pain, swelling, discomfort, or dysfunction, such as gait disturbance, both patients and surgeons should pay close attention to such after effects due to the possibility of tibial fracture. The purpose of this study is to analyze tibial fractures that occurring after osteotomy for a medioproximal tibial graft. MATERIALS AND METHODS: An analysis was intended for patients who underwent medioproximal tibial graft between March 2004 and December 2011 in Inha University Hospital. A total of 105 subjects, 30 females and 75 males, ranged in age from 17 to 78 years. We investigated the age, weight, circumstance, and graft timing in relation to tibial fracture. RESULTS: Tibial fractures occurred in four of 105 patients. There were no significant differences in graft region, shape, or scale between the fractured and non-fractured patients. CONCLUSION: Patients who undergo tibial grafts must be careful of excessive external force after the operation.
Female
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Fractures, Bone*
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Gait
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Humans
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Male
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Osteotomy
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Postoperative Complications
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Ribs
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Tibia
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Tibial Fractures
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Tissue Donors
;
Transplants*
5.Retiform hemangioendothelioma in the infratemporal fossa and buccal area: a case report and literature review.
Il Kyu KIM ; Hyun Young CHO ; Bum Sang JUNG ; Sang Pill PAE ; Hyun Woo CHO ; Ji Hoon SEO ; Seung Hoon PARK
Journal of the Korean Association of Oral and Maxillofacial Surgeons 2016;42(5):307-314
We report a case of retiform hemangioendothelioma (RH) located in the infratemporal fossa and buccal area in a 13-year-old Korean boy. The tumor originated from the sphenoid bone of the infratemporal fossa area and spread into the cavernous sinus, orbital apex, and retro-nasal area with bone destruction of the pterygoid process. Tumor resection was conducted via Le Fort I osteotomy and partial maxillectomy to approach the infratemporal fossa and retro-nasal area. The diagnosis of RH was confirmed after surgery. In the presented patient, surgical excision was incomplete, and close follow-up was performed. There was no evidence of expansion or metastasis of the residual tumor in the 8 years after surgery. In cases of residual RH with low likelihood of expansion and metastasis, even though RH is an intermediate malignancy, close follow-up can be the appropriate treatment choice over additional aggressive therapy. To date, 29 papers and 48 RH cases have been reported, including this case. This case is the second reported RH case presenting as primary bone tumor and the first case originating in the oromaxillofacial area.
Adolescent
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Cavernous Sinus
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Diagnosis
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Follow-Up Studies
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Hemangioendothelioma*
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Humans
;
Male
;
Neoplasm Metastasis
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Neoplasm, Residual
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Orbit
;
Osteotomy
;
Osteotomy, Le Fort
;
Sphenoid Bone
7.Odontogenic carcinosarcoma of the mandible: a case report and review.
Il Kyu KIM ; Sang Pill PAE ; Hyun Young CHO ; Hyun Woo CHO ; Ji Hoon SEO ; Dong Hwan LEE ; In Shu PARK
Journal of the Korean Association of Oral and Maxillofacial Surgeons 2015;41(3):139-144
Odontogenic carcinosarcoma is an extremely rare malignant odontogenic tumor with only a few reported cases. It is characterized by a true mixed tumor showing malignant cytology of both epithelial and mesenchymal components. It has been assumed to arise from pre-existing lesions such as ameloblastoma, ameloblastic fibroma, and ameloblastic fibrosarcoma. To date, the reported cases have exhibited considerably aggressive clinical behavior. The case of an odontogenic carcinosarcoma in the mandible of a 61-year-old male is described herein. The tumor destroyed the cortex of the mandible and invaded the adjacent tissues. Treatment was performed by surgical resection and reconstruction. The purposes of this article are to introduce odontogenic carcinosarcoma through this case study, to distinguish it from related diseases and to discuss features of the tumor in the existing literature.
Ameloblastoma
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Ameloblasts
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Carcinosarcoma*
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Fibroma
;
Fibrosarcoma
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Humans
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Male
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Mandible*
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Middle Aged
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Odontogenic Tumors