입자턱뼈이식술을 통한 이마윤곽증대성형 = Forehead Contouring Augmentation Surgery with Particulated Mandibular Bone Graft

다국어 초록 (Multilingual Abstract)

Up to this date, the forehead contouring augmentation surgery was perfomed with silicone or microfat graft. However, augmentation with silicone has given complications such as postoperative infection, extrusion, long linear scar, and displacement of implant. Moreover, augmentation using microfat graft often requires re-operation due to fat resorption. Surgical technique was performed in 10 patients from September 2008 to April 2009. Eight patients had macrogenia and two had prognathism. Particulated bone was harvested from squared mandibular bone. The particulated mandibular bone was then grafted on the frontal bone through a 2cm incision posteriorly to the midforehead line. As a result from the three-dimensional Computer Tomogram, the frontal bone was engrafted 6 months after the particulated bone graft. Even though, traditional concept using prothesis for forehead augmentation is still popular, the author suggests autologous augmentation can make better facial contour which is named as 'facial bone redistribution concept'. Facial bone redistribution concept is the distribution of residual bone(mandible or zygoma) to deficient area(frontal bone) to achieve better facial contour. To achieve better survival rate of bone, bone marrow stem cell and platelet rich plasma(PRP) should be applied in next study to increase the survival rate of particulated bone.

참고문헌 (Reference)

1 한승규, "지방줄기세포에서 분화된 지방세포 주입에 의한 연부조직증대술: 예비연구" 대한미용성형외과학회 14 (14): 15-20, 2008

2 김창연, "중다공성 고밀도 ePTFE를 이용한 이마 및 관자놀이 융기술" 대한미용성형외과학회 15 (15): 218-223, 2009

3 현경배, "자가 머리뼈 이식 후 뼈결손부의 면적 변화" 대한성형외과학회 32 (32): 467-473, 2005

4 김상범, "안면부 지방주입술의 장기 관찰결과" 대한미용성형외과학회 16 (16): 35-40, 2010

5 김성민, "아름다운 얼굴 윤곽을 위한 안면부 전체 구조적 지방이식: 입체 안면 윤곽술" 대한미용성형외과학회 15 (15): 234-241, 2009

6 김형수, "백서 배부의 육상층과 안면부의 골막하에 삽입한 Gore-Tex의 조직반응 및 크기 변화" 대한성형외과학회 31 (31): 370-374, 2004

7 Sajjadian A, "status of grafts and implants in rhinoplasty: Part II. Homologous grafts and allogenic implants" 125 : 99e-, 2010

8 Magee WP Jr, "Use of fast-setting hydroxyapatite cement for secondary craniofacial contouring" 114 : 289-, 2004

9 "Use of Rapidly Hardening Hydroxyapatite Cement for Facial Contouring Surgery" LIPPINCOTT WILLIAMS & WILKINS 21 (21): 1084-1088, 2010

10 Kim MG, "The healing of critical-sized bone defect of rat zygomatic arch with particulate bone graft and bone morphogenetic protein-2" 63 : 459-, 2010

11 Zhao YF, "Study of the dimension change after grafting of bone from the outer table mandibular table to different maxillofacial recipient sites" 65 : 475-, 2010

12 Greene AK, "Pediatric cranioplasty using particulate calvarial bone graft" 122 : 563-, 2008

13 Marchac D, "Long-term experience with methylmethacrylate cranioplasty in craniofacial surgery" 61 : 744-, 2008

14 Clune JE, "Inlay cranioplasty: An experimental comparison of particulate graft versus bone dust" 126 : 1311-, 2010

15 Verret DJ, "Hydroxyapatite cement in craniofacial reconstruction" 133 : 897-, 2005

16 조현우, "Hydroxyapatite Cement(MimixTM)와 격자틀을 이용한 전두부 재건술" 대한성형외과학회 35 (35): 219-222, 2008

17 Seo JD, "Forehead augmentation with methylmethacrylate" 7 : 135-, 2001

18 유영천, "Expanded Polytetrafluoroethylene(Gore-tex？)을 이용한 안면부 미용수술의 경험" 대한성형외과학회 30 (30): 2-14, 2003

19 Sajjadian A, "Current status of grafts and implants in rhinoplasty: Part I. Autologous grafts" 125 : 40e-, 2010

20 Sahoo N, "Comparative evaluation of autogenous calvarial bone graft and alloplastic materials for secondary reconstruction of cranial defects" 21 : 79-, 2010

21 Lee JH, "Clinical observation of cranioplasty using autogenous bone graft" 24 : 527-, 1997