Anterior segmental maxillary osteotomy using a modified Couper's method with circumcrevicular incision : A Case Report

Park,  Young-Ju; Nam,  Jeong-Hun; Yeon,  Byoung-Moo; Song,  Jun-Ho; Noh,  Kyung-Lok; Pang,  Eun-O; Kim,  Da-Young; Kim,  Jun-Hyeon; Ahn,  Jang-Hun; Gang,  Tae-In

J Korean Dent Assoc > Volume 47(6); 2009 > Article

The Journal of The Korean Dental Association 2009;47(6):373-378.
Published online June 30, 2009.

변형 구개 유경 판막을 이용만 상하악 전방골 본절 성형술 : 증례 보고

박영주¹, 남정훈², 연병무³, 송준호⁴, 노경록⁵, 방은오⁶, 김다영⁷, 김준현⁸, 안장훈⁹, 강태인¹⁰

^¹한림대학교 의과대학 강남성심병원 구강악안면외과학 교실
^²한림대학교 의과대학 강남성심병원 구강악안면외과학 교실
^³한림대학교 의과대학 강남성심병원 구강악안면외과학 교실
^⁴한림대학교 의과대학 강남성심병원 구강악안면외과학 교실
^⁵한림대학교 의과대학 강남성심병원 구강악안면외과학 교실
^⁶한림대학교 의과대학 강남성심병원 구강악안면외과학 교실
^⁷한림대학교 의과대학 강남성심병원 구강악안면외과학 교실
^⁸한림대학교 의과대학 강남성심병원 구강악안면외과학 교실
^⁹한림대학교 의과대학 강남성심병원 구강악안면외과학 교실
^¹⁰한림대학교 의과대학 강남성심병원 구강악안면외과학 교실

Anterior segmental maxillary osteotomy using a modified Couper's method with circumcrevicular incision : A Case Report

Young-Ju Park¹, Jeong-Hun Nam², Byoung-Moo Yeon³, Jun-Ho Song⁴, Kyung-Lok Noh⁵, Eun-O Pang⁶, Da-Young Kim⁷, Jun-Hyeon Kim⁸, Jang-Hun Ahn⁹, Tae-In Gang¹⁰

¹Department of Oral and Maxillofacial Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University
²Department of Oral and Maxillofacial Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University
³Department of Oral and Maxillofacial Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University
⁴Department of Oral and Maxillofacial Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University
⁵Department of Oral and Maxillofacial Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University
⁶Department of Oral and Maxillofacial Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University
⁷Department of Oral and Maxillofacial Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University
⁸Department of Oral and Maxillofacial Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University
⁹Department of Oral and Maxillofacial Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University
¹⁰Department of Oral and Maxillofacial Surgery, Kangnam Sacred Heart Hospital, College of Medicine, Hallym University

Abstract

This article presents a modified palatal pedicled incision design in anterior segmental maxillary osteotomy. This method included the circumcrevicular incisions and two vertical relaxing incisions. Then, it is different from the Couper's method with vestibular horizontal incision and other anterior segmental osteotomy techniques. The main advantages of this method are an improved visibility of surgical field and favorable preservation of palatal pedicle. A patient who had been operated by anterior segmental maxillary and mandibular osteotomy without pre operative orthodontic treatment was analyzed for advantages and complications during the intraoperative and early post operative period. There are no specific major complications such as infection, gingival recession and dehiscence. And the patient had a pleasing esthetic facial appearance.

Key Words: Anterior segmental osteotomy;Couper's method;Circumcrevicular incision;