19 KB173 KB18 KB192920262001Žerdoner, DanijelŽgank, Joželetnik:70str. I-43-I-46številka:supl. 1ISSN:1318-0347COBISSID:14375385URN:URN:NBN:SI:doc-POIXE7NPslSlovensko zdravniško društvoZdravniški vestnikAdultdisgnatijaIzid zdravljenjamandibulaMethodsOdraslioperativno zdravljenjeOsteotomijaOsteotomyProgenijaPrognathismSurgeryTreatment outcomeHunsuck-Epkerjev način operacije mandibularne prognatije| Surgery of manibular prognathism according to Hunsuck-Epker approach|Background. In the following article the authors presents the advantages of the mandibular prognathism correction by Hunsuck-Epker approach and compares it with the Obwegeser surgery method. When operating according to the Hunsuck-Epker approach the osteo lingual section reaches only the concave plate of the mandible on the lingual side. Thus the possibility of damaging the neurovascular fascicle is reduced and the surgery time shortened. The surgery is performed exclusively by inter-oral approach. In majority of cases the attachment of the chewing muscles remains unchanged. This surgery method yielded good results. Conclusions. Hunsuck-Epker surgery for the correction ofmandibular prognathism can be performed by intra-oral approach. Complications during the surgery are reduced. No scars left on the face. The attachments of the chewing muscles remain unchangedIzhodišča. V članku avtorja prikažeta prednosti operativne metode operacije mandibularne prognatije po Hunsuck-Epkerju kostni lingvalni rez poteka samo dokonkavne ploskve mandibule na lingvalni strani. S tem se zmanjša nevarnost poškodbe nevrovaskularnega snopa in skrajša čas operacije. Operacija se izvajaizključno z intraoralnim pristopom. V večini primerov ostanejo narastišča žvekalnih mišic nespremenjena. Uspehi operacije so dobri. Zaključki. Hunsuck-Epkerjeva metoda operacije mandibularne prognatije je izvedljiva z intraoralnim pristopom. Zmanjšane so medoperativne težave. Ne zapušča brazgotin na licu. Narastišča žvekalnih mišic ostanejo nespremenjenaTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaSlovensko zdravniško društvo