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논문 기본 정보

자료유형
학술저널
저자정보
박영욱 (강릉원주대학교) 권광준 (강릉원주대학교) 강예진 (강릉원주대학교) 장인산 (강릉원주대학교)
저널정보
대한악안면성형재건외과학회 Maxillofacial Plastic Reconstructive Surgery Maxillofacial Plastic Reconstructive Surgery 제43권
발행연도
2021.12
수록면
1 - 8 (8page)
DOI
10.1186/s40902-021-00304-8

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Background: Compared to the conventional approach, including preoperative orthodontic preparation, the socalled surgery-first approach (SFA) seems to reduce the overall treatment time in the correction of skeletal class IIIdentofacial deformity. However, there have been controversies about postoperative skeletal stability with SFA. Therefore, we investigated the long-term stability and the overall treatment time after maxillomandibular surgeryfor skeletal class III correction with or without preoperative orthodontic preparation. Methods: This retrospective study included eight patients who underwent maxillomandibular surgery for class IIIcorrection with the SFA (SFA group) and 20 patients who underwent the conventional approach (CA group). Acomparative study of the change in the maxillary and mandibular position on preoperative (T1), 1-day (T2), 6-month(T3), and 2-year (T4) postoperative lateral cephalograms. We calculated the overall treatment time for each group. Results: At the presurgical stage (T1), there was no bias in the skeletal features between the two groups. In the surgicalchange from T1 to T2, the mandible (point B) of the CA group was significantly moved superiorly. Short-term changesfrom T2 to T3 revealed that the mandible moved forward in both groups, whereas the maxillary position showed nosignificant changes. Long-term changes from T3 to T4 demonstrated that none of the measured parameters showedany significant differences. Finally, the average of overall treatment time was 15.1 months in the SFA group and 26.0months in the CA group. Conclusions: These findings suggest that SFA in bimaxillary orthognathic surgery for skeletal class III correction leadsto predictable long-term skeletal stability, similar to surgery with CA. Furthermore, SFA reduced the overall treatmenttime compared to CA

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