In order to examine a way of utilizing the papers published in the field of oral &maxillofacial surgery, the subjects and the references from total 3,392 papers. ; 263 papers in the KJOMS(Journal of Korean Association of Oral &Maxillofacial Surgeons. vol. 17-21), 237 papers in the KJMPRS(Journal of Korean Academy of Maxillofacial Plastic and Reconstructive Surgery. Vol 13-17), 1,233 papers in the JJOMS (Journal of Japanese Association of Oral &Maxillofacial Surgeons. vol 37-41), 1,212 papers in the AJOMS(Journal of American Association of Oral &Maxillofacial Surgeons. vol 49-53), and 447 papers in the International JOMS(Official publication of the International association of Oral &Maxillofacial Surgeons vol 20-25) have been analyzed. The results were as follows: 1. The subjects of KJOMS and KJMPRS were composed of various 28 items. Among 15 main subjects excluding the minor subjects below 1%, there were Aquired deformity &-Reconstruction (17.4%), Jaw deformity (14.2%), Trauma (14.2%) and Malignant tumor (10.8%). 2. The main subjects of JJOMS were Malignant tumor (22.8%) and Benign tumor (20.6%), In AAOMS, Trauma (13.0%), Jaw deformity (13.0%), and malignant tumor 12.4%) were main subjects. In IJOMS Malignant tumor (16.1%), Acquired deformity &Reconstruction (13.0%), and Trauma (10.3%) were main subjects. 3. IN KJOMS and KJMPRS, Scientific and Clinical articles was 63.5% and Case reports was 36.5%. But scientific and Clinical articles was 43.4% and Case reports was 56.6% in JJOMS, 47.1% and 52.9% in AAOMS, 50.1% and 49.9% in IJOMS. 4. The number of institutes in KJOMS and KJMPRS was 46. The main 6 institute published the 57.4% of total articles. In IJOMS, Nationality of the author was composed of 42 nations. West Europe Area published 52.8% of total articles, and The dominant nation of the author were West Germeny (16.3%), U.K. (12.1%), and Japan (11.6%). 5. Authors cited 30.4 references per articles in average, but only 2.7 domestic articles was cited in KJOMS and KJMPRS. It was 17.4 references, but 9.3 domestic articles was cited. In AJOMS and IJOMS, were 19.5 and 18.0 references.
Academies and Institutes ; Asian Continental Ancestry Group* ; Congenital Abnormalities ; Ethnic Groups ; Europe ; Humans ; Japan ; Jaw ; Plastics ; Publications

PURPOSE: This study was intended to evaluate the positional relationship between the hyoid bone and the mandible in patients with mandibular protrusion after mandibular set-back surgery by means of 3D-CT. MATERIALS AND METHODS: Preoperative(3 weeks before) and postoperative (6 weeks after) 3D-CT and cephalogram were taken on 32 patients(12 male, 20 female, mean age of 23.2) treated by bilateral sagittal split osteotomy with rigid fixation. The angular measurement on 3D-CT basilar view were deviation of Me and H, long axis angle of left and right cornu majus. The lineal measurement on 3D-CT basilar view were composed of intercondylar line and coordinates(x,y) of Me and H. The angular and lineal measurement of lateral cephalogram were composed of mandibular plane angle, SNA, SNB, ANB, FH-NA and FH-NB, and coordinates(x,y) of B, Pog, Me and H, PAS, Lpw, MPH and IAS. On the frontal cephalogram, deviation of Me were evaluated. RESULTS: The mean mandibular set-back was 8.0mm horizontally and mandibular plane angle was slightly increased. The hyoid bone was displaced postero-inferiorly, the distance between MP(mandibular plane) and H(hyoid bone) was increased and the posterior airway space values (PAS, Lpw, IAS) were decreased. The coordinates Me(x,y), H(x,y) and deviation angle Me' and H'were revealed the strong positive correlation. CONCLUSION: The results revealed that the horizontal, vertical and transverse relationship of the mandibular and the hyoid bone movements were significantly correlated in patients performed mandibular set-back surgery.
Axis, Cervical Vertebra ; Female ; Humans ; Hyoid Bone* ; Male ; Mandible* ; Orthognathic Surgery* ; Osteotomy

Three-dimensional solid model has not been widely used in surgical prediction of orthognathic surgery because freque from occlusal restorations or prosthesis limited the usefulness of simulated surgery involving occlusion. We prepared three-dimensional(3D) solid model from CT data and integrated the 3D solid model with dental cast using a face-bow transfer technique combined with skeletal reference measurement and confirmation with cephalometric radiographs. With this simple and easy method, it was possible to predict bony interference between the proximal and distal segment of the mandible so that we can prevent condylar displacement after sagittal split ramus osteotomy of the mandible with prominent asymmetry. The method error was within 2mm and it seemed to be useful in preoperative planning for maxillofacial surgery with maxillo-mandibular occlusal change
Mandible* ; Orthognathic Surgery* ; Osteotomy, Sagittal Split Ramus ; Prostheses and Implants ; Surgery, Oral

No abstract available.

No abstract available.
Publications

Bite Force ; Chin ; Humans ; Mandible ; Maxilla ; Maxillary Osteotomy ; Muscle Tonus ; Osteotomy, Sagittal Split Ramus ; Prognathism ; Recurrence

Dentofacial Deformities ; Head ; Humans ; Imaging, Three-Dimensional ; Orthodontic Brackets ; Skull

Diagnosis of dentofacial deformity needs three dimensional comprehensive understanding of craniofacial skeleton. Eventhough three dimensional computerized tomogram has been developed, the quantified measurement analysis is merely depend on cephalomeric analysis. In our pilot study using the ordinary cephalometric radiogram which is commonly used in clinical basis, we tried to reconstruct three dimensional coordinates from frontal and lateral cephalogram taken from five dry skulls attached with small metal ball. To evaluate the reproducibility of the cephalogram, intra-examiner error was measured and compared with the three dimensional coordinates. Fourteen linear measurement of dry skull and three dimensional value has been compared. The results were as follows: 1. The intra-examiner error of the two dimensional cephalogram showed a similar variation below 1 mm in frontal and lateral cephalogram. The error ranged from 0.11-0.13mm in the case of frontal cephalometrics and 0.12-0.57mm for lateral cephalometrics Three dimensional coordinates showed relatively high reproducibility except 7 coordinates out of 90 (7.8%). The average error of the single measurement of x,y,z point shown to be 0.04+/-0.21mm, 0.01+/-0.01mm. 0.08+/-0.08mm. 2. Compare the 14 linear measurement of dry skull and three dimensional measurement, the mean difference was 0.13+/-1.54mm, ranging from 2.59+/-3.00mm (L-Co, R-Co) to 0.01+/-0.38 (ANS, L-Or). From the result by taking real value percentage rate by 3 dimensional measuring value, the mean value was 100.74+/-3.92% and the measurement which showed the most shortening compared with the real value was the distance between R-Or and ANS (97.75+/-3.11%) and the most enlarged measurement was the distance between L-VMC, L-VIC (106.59+/-20.33%). 3. However, compare the real value and two dimensional cephalometric radiograph, difference between the two is significant degree which hinder the use of two dimensional measurement in clinical situation. This potential pitfall of the cephalogram might be overcome by using our three dimensional coordinate system. If the reproducibility of the frontal and lateral cephalogram is achieved, major concern related to the accuracy of three dimensional measurement is correct detection of anatomical landmark. Further investigation of anatomical investigation of facial skeleton will make this system more accurate and popular in clinical field.
Dentofacial Deformities ; Diagnosis ; Pilot Projects ; Skeleton ; Skull

We report a case of myiasis on the left submandibular area after radiation therapy for squamous cell carcinoma. A 77-year-old man visited our hospital, 7 weeks after complicating a course of radiation therapy, had a 7cm diameter necrotic ulcer on the left submandible. The margin of the lesion were undermined by numerous interlinking passages containing 20 maggots. The maggots were removed by simple extraction and were identified as Calliphoridae Lucilia. The probable origin of the myiasis in this case was attributed to poor environmental condition and general weakness of the patient. Oppotunistic cutaneous myiasis can be prevented by protecting open wounds from flies, wound should not be left without a covering capable of excluding flies, especially in the summer month.
Aged ; Carcinoma, Squamous Cell* ; Diptera ; Humans ; Larva ; Myiasis* ; Ulcer ; Wounds and Injuries

To evaluate the stability after orthognathic surgery in cleft lip and palate patients using rigid fixation, 20 patients underwent primary repair in childhood and later developed a jaw deformity and malocclusion that required orthognathic surgery were reviewed. Two groups, one of 10 patients performed Le Fort I osteotomy with sagittal split ramus osteotomy and one of 10 patients with sagittal split ramus osteotomy of the mandible, were evaluated. Each group had unilateral cleft only and all alveolar cleft sites had been grafted with autogeneous bone before the orthognathic surgery. The amount of surgical movement and relapse were compared in both horizontal and vertical dimensions. Two-jaw surgery group was more stable than mandibular surgery only group in mandibular position (p< 0.05). Statistically significant relapse was observed in mandibular skeletal point in mandibular surgery group (p<0.05). There was no statistically significant relapse in the skeletal point of two-jaw surgery group. However, the correlation between the horizontal surgical movement and relapse was detected (r = 0.88). This correlation indicates the need of overcorrection. The presence of scar tissues and relatively deficient maxillary bone could be attributed to this close relation between the surgical change and relapse.
Cicatrix ; Cleft Lip* ; Congenital Abnormalities ; Humans ; Jaw ; Malocclusion ; Mandible ; Maxilla ; Orthognathic Surgery* ; Osteotomy ; Osteotomy, Sagittal Split Ramus ; Palate* ; Recurrence ; Transplants ; Vertical Dimension