하악지 시상분할골절단술시 과두위치 유지를 위한 간편계측의 술후경과

류동목,이상철,김여갑,이백수,박종오 대한악안면성형재건외과학회 2000 Maxillofacial Plastic Reconstructive Surgery Vol.22 No.6

This study was intended to evaluate condyle position using simple ruler method in sagittal split ramus osteotomy for mandibular setback in 15 patients by paired t-test. We used oblique transcranial radiographs taken before operation and immediate after operation. And we concluded as follows ; 1.The joint spaces changed under 0.2mm were 21.2%, 0.2mm to 1.0mm were 67.7%, above 1.0mm were 11.1%. 2.The mean changes of AJS, SJS, PJS were all increased and SJS was most changed of them, but there is no statistically significant change in SJS. 3,Comparing the preop. measurements with the postop. ones, there is no statistically significant changes in over all joint spaces (P>0.05)

다발성 골화성 섬유종의 치험례

류동목,박기범,이상철,김여갑 대한악안면성형재건외과학회 2002 Maxillofacial Plastic Reconstructive Surgery Vol.24 No.4

Ossifying fibroma is a neoplasm representing one of the benign fibro-osseous lesions of the jaw. ossifying fibroma has been designated as a demarcated, occasionally encapsulated lesion consisting of fibrous tissue that contains variable amounts of mineralized material resembling abnormal bone or cementum-like tissue. most of them are solitary and show slow, often expansile growth centrally within the jaws and characteristrically behave in a benign fashion. But, rarely they occur as a multiple and in a gigantic form exhibiting an aggressive nature. We has a case of multiple ossifying fibroma showing rapid-growing behavior and sequential occurrence in all four jaw quadrants resulting in severe facial deformity and orbital compression. therefore such a rare case is reported here.

대두단백질 가수분해물의 특성

김동수,양승택,문윤희,류병호,김희숙,염동민,김진목 慶星大學校 1998 論文集 Vol.19 No.1

The present study was conducted to elucidate some characteristics of soy protein hydrolysates. The soy protein was obtained from defatted soy power by the treatment of n-hexan. The hydrolysates of soy protein were prepared from hydrolysis by bromelian and pepsin with the two kinds of samples of precooking for 30 min in steam oven and noncooking, and fractionated through Bio-gel P-4 column chromatography. Fractions of hydrolysates separated on the Bio-gel column chromatography were carried out to SDS-PAG electrophoresis, resulting to show some different bends from 66kD to 14.2kD of molecular weight. In addition, the fractions showed different activities of superoxide dismutase. From these results, it was found that the hydrolysates could be available to use in a lot of food industrial fields as new functional food materials because the hydrolysates had different characteristics in electrophoresis and could increase the activity of superoxide dismutase.

Midfacial degloving approach을 이용한 양측성 상악골절제술의 치험례

오재권,류동목,이상철,김여갑,이백수 大韓顎顔面成形再建外科學會 2001 Maxillofacial Plastic Reconstructive Surgery Vol.23 No.6

Maxillary cancer accounts for only 0.3% of all cancers and tumors of the nose and paranasal sinuses are 80% of maxillary neoplasms. The complexes of midfacial anatomical landmarks make the extension of the maxillary cancer more easy. In 1826 since Lazar first made unilateral maxillectomy for the maxillary cancer, various developments were evoluated and in the surgical approach of these lesions most oral & maxillofacial surgeons have used the vestibular approach or Weber-Fergusson approach and also unilateral lesions are common but bilateral lesons are rare. In 1992 Sjovall introduced the bilateral maxillectomy and for the preventions of the facial scar, In 1927 Portmann and Retrouvey reported the sublabial approach and In 1979 Price reported the midfacial degloving approach and in 1981 Allen and Siegel used the term "Midfacial degloving approach". Unlike the previous used Weber-Fergusson approach and Caldwell-Luc method, midfacial degloving method can make the intraoral approach of midfacial structure exposure without facial incision and has populated gradually for the removal of tumors and facial plastic surgery. In this case, two male pt. with bilaterally extensive malignant neoplasm on maxillary sinus was treated with pre or post op. radiotherapy and then underwent the bilateral subtotal maxillectomy via midfacial degloving approach and relatively satisfactory results were obtained.

Polyphosphate가 연조직 창상 치유에 미치는 영향에 관한 연구

박기범,류동목,이진용,신제원 대한악안면성형재건외과학회 2002 Maxillofacial Plastic Reconstructive Surgery Vol.24 No.3

Polyphosphate has been used as a food additive. It has been approved the use of PolyP to the products as a safe additive. In other study, PolyP seems to has an ability of promoting effect on bone regeneration, possibly by enhancing osteoconductivity of the carrier and/or by increasing osteoinductivity of the damaged bone tissue. So we performed this study in order to evaluate the effect of polyphosphate on the dermal defect healing in critical-sized defect wound. Using welder and blade, a 1㎝ diameter sized burn-defect and rectangular excisional-defect was prepared in the thigh of each Sprague-Dawley rats. Then defect areas were applied topically with distilled water(DW), 0.01% orthoposphate(Pi), or 0.01% polyP75. The application of these materials was continued for seven days. The rats, which had burn wounds, were sacrificed at week 1 and 2. the other goups, which had excisional wounds, were sacrificed at day 3, week 1, 2, and 4. the specimens of the defect were prepared, stained with H&E, and examined under the microscope. Dermal defect healing capacity of polyP75 was also examined by observaing cellular activity of periodontal cells using MTT assay. The results were as follows. PolyP75 at the concentrations of 0.01% increased the MTT activity of periodontal cells by 154.1%. a pathohistologic findings of burn wound with polyP75 showed a faster epidermal healing and more profound maturation in dermis than those of other groups. In excisional wound, compare with other groups, tissue maturity and density of matrix in dermis were much enhanced in the polyP75 groups.

금속고정판의 제거시기가 악교정 수술후 조기 골격성 회귀에 미치는 영향에 대한 연구

김혜진,류동목 大韓顎顔面成形再建外科學會 2003 Maxillofacial Plastic Reconstructive Surgery Vol.25 No.4

The early skeletal relapse after surgery was much influenced by clockwise rotation of the proximal segment. The purpose of this study is to prove statistcally that the removal of fixation plate at postoperative 2 weeks with active excerise of month opening could reposition not only both proximal and distal segment to its original position but also reduce skeletal relaspse. All subject comprised 35 patients underwent mandibular setback via BSSRO in Kyunghee medical center by a surgeon. We divided the sample into two groups. In group 1,the fixation plate was maintained and that was removed at postoperative 2 weeks in groups 2. Cepalometric radiograph were obtained before surgery, within a week after surgeru, two months postoperatively. All radiograph were traced and analyzed by the same investigator and were serially superimposed on the reference lines, anterior and posterior cranial base structures.We measured the changes of both proximal & distal segment and performed statistical analysis used paired t test(p<0.05). The results obstained are as follows that the proximal segment was displaced posteroinferiorly(clockwise fashion)at postsurgery in both group and repositioned toward its orgional position during follow-up periods,especially in group 2. And the distal segment was more displaced anterirly in group 1 that didn't remove the fixation plate. In conclusion, the clockwise rotation of proximal segment is a sugnificant factor reflecting early skeletal relapse. The early removal of fixation plate after BSSRO could reposition the proximal segment which displaced postoinferiorly to physiologic position and reduce early skeletal replapse.

최근 5년간 악교정수술 증례에 관한 임상적 연구

이백수,류동목,김여갑,이상철,최유성 大韓顎顔面成形再建外科學會 1995 Maxillofacial Plastic Reconstructive Surgery Vol.17 No.1

As a society develops and a standard of living raises, the orthoganthic operation, the purpose of which is the harmony of oral and surrounding tissue, the improvement of the basal bony relations for stable tooth-support, and the improvement of facial appearance, generalized in our society. This is a clinical study on 135 patients who underwent orthognathic operation at the Dept. of Oral and Maxillofacial surgery, College of Dentistry, Kyung-Hee University during the last 5 years. The results were as follows. 1. The ratio of female to male was 1.4 : 1. 2. The age distribution of most patients was the period of 20 years thruogh 24 years. 3. The major reasons for seeking orthagnathic surgery were ethetic complanints(94.8%), and additional reason was functional complaints such as masticatory disturbances, phonetic disturbances, and TMJ discomfort. 4. In order to consult about orthognathic surgery, the patients first visited to the Dept. of oral and maxillofacial surgery at the ratio of 24.0%. 5. The ratio of the patients who underwent the presurgical orthodontic treatment was 79.5%, and the treatment usually required the period from 7 months to 18 months. 6. The setback amount was less than 10mm at the ratio of 85.8%. 7. The orthognathic operations which were practiced were usually composed of ramus osteotomy such as sagittal split ramus osteotomy and vertical ramus osteotomy and additional surgery on mandible at the ratio of 86.7%, and SSRO was done at the ratio of 62.5%, and EVRO was done at the ratio of 37.5%.

하순에 발생한 우췌성상피세포암의 Karapandzic flap을 이용한 치험례

서경성,류동목,이상철,김여갑,이백수 大韓顎顔面成形再建外科學會 2001 Maxillofacial Plastic Reconstructive Surgery Vol.23 No.6

The verrucous carcinoma which was classified by Ackerman in 1948 is generally well differentiated and slow growing. After its radical surgery, it is rarely recurrent of carcinoma. Tobacco chewing is a most important factor in the etiology of these lesion. It frequently affect males over 55 year old age and usually appears on buccal and mandibular alveolar mucosa. The continuing effort by plastic surgeon to reconstruc lips successfully has been accompanied by numerous publications on the subject. More recent communications have dealt with modifications or refinements of existing procedures. In 1974, Karapandzic reported the use of arterialied flaps to reconstruct lips following excisions of cancers. We have treated 65 year old male patient rapid growing verrucous carcinoma on lower lip with Karapandzic flap. Postoperatively the results showed good prognosis. So we report the result of its treatment and case with review of literature.

두개내 합병증을 유발한 저작극 농양

이상철,김여갑,류동목,이백수,최유성,한승완,오승환 大韓顎顔面成形再建外科學會 1996 Maxillofacial Plastic Reconstructive Surgery Vol.18 No.1

Although the use of the antibiotics has minimized the dangers of the spread of odontogenic infection to adjacent important organs, sometimes the fatal cases, such as Ludwig's angina, mediastinitis, intracranial complications from the odotogenic infection, may be occurred. The odontogenic infections or oral and maxillofacial region may involve the intracranial area through systemic circulation or by direct spread into the intracranial cavity. Headache, malaise, loss of appetite, chills, fever, vomiting, apathy, and irritability are usually followed by more specific involvement of the nervous system. We experienced one patient who died of intracranial complication from odontogenic infection. So we report the case and the literatures about intracranial involvements following odontogenic infections and dental procedures.

Biocompatible Osteoconductive Polymer와 吸收性 Hydroxyapatite가 骨化에 미치는 影響에 關한 硏究 : A HISTOLOGICAL STUDY

李敏汀,李相喆,柳東睦 慶熙大學校 齒科大學 1995 慶熙齒大論文集 Vol.17 No.2

The purpose of this study was to observe the osteogenic effects of biocompatible osteoconductive polymer(BOP D.T.I. Co., U.S.A.) and resorbable HA(Osteogen ; Impladent Co., U.S.A.) in bony defected area In order to perform this study, 30 male rabbits, weighing about 2.5kg were selected. The 3x5x7mm sized defects were made on the both sides of the mandibular body and the defect was filled with blood clot in control group and with resorbable HA and BOP respectively in experimental groups. All experimental animals were sacrificed at the 3rd day and the 1st, 2nd, 4th and 6th week after operation. The mandibular body and surrounding tissues were removed out, deminerahzed, dehydrated and embedded. The histological observation of the specimens in light microscopic level was performed after Azan staining. The results were as follows 1. Osteoblasts were observed after a eek both in control group and experimental groups, and fibrous tissues were formed in bony defected area. Especially, new bone formation was observed earlier in BOP experimental group than in any other groups. 2. New bone formation was developed from the adjacent normal bone to bony defected area both in control group and experimental groups. And in experimental groups, new bone was infiltrated rapidly into the graft material than in control group and large amount of bone formation was observed. 3. Both in two experimental groups, the resorption pattern of the graft material was observed after 2 weeks, an materials were almost disappeared after 4 weeks. 4. After 6 weeks, bony defected area was occupied with new bone both in control group and in experimental groups, but bony density in experimental groups was higher than in control group, especially in BOP experimental group which showed more mature heating state.