광범위한 상악골 골수염의 제한적 접근법과 Le Fort I 하방 골절을 통한 접근법

LIMITED OR LE FORT I DOWN FRACTURE ACCESS FOR WIDESPREAD OSTEOMYELITIS OF MAXILLA

Purpose: To compare the case of widespread maxillary osteomyelitis treated through different approach. Method: We report the two case of osteomyelitis. In a case, we had gradually removed the small amount of sequestrum for several times. In the other case, intended Le Fort I fracture was done to approach the lesion. Result: In the gradual sequestrectomy case, bone formations were found after 4 months. In the other case, after intended Le Fort I down fracture, sequestrectomy of Lt. maxilla was done with the labiobuccal alveolar bone preserved for the prosthodontic treatment