쿠퍼씨 방법을 이용한 상악 전방부 골절단술

김소영,김수관,이상호,김수응,정태영,안태훈 대한악안면성형재건외과학회 2001 Maxillofacial Plastic Reconstructive Surgery Vol.23 No.5

Anterior segmental osteotomy were performed in 8 patients with Angle's II malocclusion or anterior maxillary protrusion. Cupar's method was used for operation. The period of follow up for patients were 15months by average. This study discussed the postoperative complications and soft tissue change after anterior segmental maxillary osteotomy. There are not specific major complications.

하악골 절제술후 재이식된 돌결자가골 재이식 : 치험 3례

김 식,김수관,김운규,김수민,류종희,이준길,조경안,김수흥,정태영,여환호 대한악안면성형재건외과학회 2001 Maxillofacial Plastic Reconstructive Surgery Vol.23 No.2

We described three cases of immediate reimplantation of a frozen-thawed autogenous mandible composed of a mixture of iliac bone, marrow, and particulate hydroxyapatite in tumors of the mandible. Acceptable outcomes were obtained in three patients who underwent immediate autogenous mandibular graft reconstruction. The conditions leading to successful outcome of the procedure are also discussed. Reimplantation of frozen autogenous lesioned mandible was performed in three patients with mandibular tumors. Two reimplanted grafts survived without complications following surgery. One case had postoperative infection that resolved with appropriate antibiotic treatment. There were no recurrences of the primary lesions. Satisfactory facial contour after surgery was achieved. These results are most promising, and we believe that, with further refinement, this technique will offer a new and acceptable modality for facial reconstruction in patients with cancer.

일측성 질폐쇄 및 동측 신장 무발생을 동반한 중복자궁 2예

윤일영,여소진,김형문,김정식,김태희,이해혁,남계현,이권해,김준모,김민의 순천향의학연구소 2004 Journal of Soonchunhyang Medical Science Vol.10 No.2

Uterus didelphys with unilateral obstructed hemivagina and ipsilateral renal agenesis usually presents after menarch with progressive abdominal pain during menses secondary to hematocolpos, and indeed a very rare congenital anomaly due to Mullerian duct malformation. An accurate and prompt diagnosis is of importance to permit treatment and to assure the future fertility of the patient. Pelvic ultrasound, physical examination and pelvic MRI established a diagnosis of hematometracolpos secondary to uterus didelphys with unilateral imperforate hemivagina. An incision in the vaginal septum allowed drainage of the hematocolpos, providing relief of the patients symptoms. We report two case of uterus didelphys with obstructed hemivagina with brief review of the literature.

학국에서 심방세동의 임상양상에 관한 연구

이선미,조정휘,홍순조,최윤식,안신기,김성순,김영훈,김윤년,조정관,차태준,김유호,최기준,김준수,이상민,신동구 대한순환기학회 2000 Korean Circulation Journal Vol.30 No.5

상악골 전방부 골절단술후 발생된 개방형 열개 : 증례보고 A CASE REPORT

김훈,김수관,이준길,정태영 大韓顎顔面成形再建外科學會 2003 Maxillofacial Plastic Reconstructive Surgery Vol.25 No.3

An anterior segmental osteotomy may be complicated by malpositioning,bleeding, perfusion deficiencies, periodontal defects(dehiscence), devitalized teeth, oronasal fistula, and nonunion(delayed union).If preiodontal defects occur after surgery, though hygiene and good nutrition are all that can be recommended until primary healing has occurred. However, a soft tussue graft might be needed at the defect site when the preiodontal defects do not heal properly. We reported a patient who showed an excellent prognosis after undergoing a palatal mucosa graft accompanied by laterally positioned flap as a result of a dehiscence that occurred after anterior segmental osteotomy.

치아종 제거후 시행한 자가치아이식술

김종운,김수관,김수흥,정태영 대한악안면성형재건외과학회 2001 Maxillofacial Plastic Reconstructive Surgery Vol.23 No.3

We report a case in which a right mandibular incisor was impacted beneath an odontoma in the anterior mandible. An odontoma at the symphyseal region was removed under general anesthesia, and bone was grafted. Tooth #41, which was beneath the lesion, was extracted and transplanted to its original site. It was splinted with resin for 2 weeks and was checked at intervals during that time. After 4 months, it was filled endodontically with calcium hydroxide.

상악동에 발생한 낭종과 술후낭종에 대한 임상병리학적 연구

김수관,박정열,강태호,장현선 대한악안면성형재건외과학회 2000 Maxillofacial Plastic Reconstructive Surgery Vol.22 No.5

The purpose of this study is to evaluate the frequency of cysts and postoperative cyst in maxillary sinus and compare between cysts and postoperative cyst in maxillary sinus. Of 3,218 biopsy cases, 23 cases of cysts and 9 cases of postoperative cyst in maxillary sinus were found. Males were affected significantly more than females. The age distribution of the 23 patients was in a range of 13 to 76 years. Most of them were in the second and third decades. The postoperative maxillary cyst was occurred most frequently during ten years after Caldwell-Luc operation. Females were affected more than males. The age distribution of 9 patients was in a range of 29 to 64 years. Most of them were in the 6th decade. The most common symptoms were pain and swelling, and the sites were the molar area and vestibule of the maxilla. Radiographically, the lesions occurred most frequently unilateral radiopaque. The cysts were treated surgically in all cases. The literatures were reviewed regarding etiology, frequency, and radiologic and microscopic findings of those cysts.

全州市 大規模 住宅開發이 三川에 미치는 影響

金煥起,李基完,裸悳寬,丁泰燮 全北大學校 附設 都市및環境硏究所 1988 都市 및 環境硏究 Vol.3 No.-

A site plan for 16,110 persons and area of 308,569㎡ was planned by Chonju City. This paper is to study the effects of the site development on Sam-cheon. Average water quality of Sam-cheon was BOD_5 46.0㎎/ℓ in Jan. and Feb., which exceeded the class levels of legislated water quality obviously. If the site were developed by plan, amounts of estimated overall sewage, BOD and SS loads to Sam-cheon would be about 2,954 ㎥/day, 702 ㎏ BOD/day and 409 ㎏SS/day respectively. Even if the sewage of developed area is treated through the legislated purification system, BOD concentration of the stream would be 2.2 ㎎/ℓ more than the present by effluent of purification facilities. Therefore, to prevent more degradation of water quality at least, the pollutional regulation of total emission for the stream could be applied to Sam-cheon with a time-limit.

장애인과 비장애인의 정보격차 분석

김태일,도수관 한국사회복지정책학회 2005 사회복지정책 Vol.21 No.-

본 연구에서는 우리나라 장애인과 비장애인의 정보역량을 비교함으로써 비징애인에 대안 장애인의 정보격차를 추정하였다. 정보역량은 접근성, 사용능력, 양적활용도, 질적활용도 및 이들의 평균값으로 측정하였으며, Oaxaca 모형을 적용하여 두 집단의 정보역량 격차를 '장애' 여부에 기인안 부분과 '다른인적특성'의 차이에 기인한 부분으로 분해하여 분석하였다. 주요 분석결과를 정리하면 다음과 같다. ① 장애인은 비장애인에 비하여 정보역량을 구성하는 모든 세부영역의 수준이 더 낮은데, 그 중에서 특히 사용능력의 격차가 가장 크다. ② 청년층의 경우 사용능력격차에는 '장애' 여부가 더 중요한데 비하여 접근성과 질적활용도 격차에는 '다른인적특성' 차이가 더 중요하다. 그리고 '장애'여부와 '다른인적특성'이 양적활용도 격차에 미치는 영향은 대략 비슷하다. ③ 중장년층의 경우 비장애인과의 정보역량격차는 전적으로 '다른인적특성'의 차이에 기인한다. ④ '다른인적특성'의 차이 중에서는 악력차이가 가장 큰 영양을 미친다. This paper analyzes the digital divide between disabled and non-disabled people through comparing the personal information capacity. The personal information capacity consists of four sub-categories: access index, capacity index, quantitative usage index, and qualitative usage index. By the Oaxaca model, we separate the digital divide two parts. One is the digital divide caused by the 'disability' and the other is the digital divide caused by other individual characteristic differences such as education, income, and etc. Main findings of this paper are as follows. All of the four indexes are lower for disabled people, and particularly personal capacity index of disabled people is much lower than that of non-disabled people. As for young people, 'disability' is much more important than 'other individual characteristics' causing digital divide in personal capacity index. As for old people, the digital divide between two groups is wholly caused by 'other individual characteristics'. Among the 'other individual characteristics', Education is the most important factor causing the digital divide.

가토에서 관절원판을 전방변위시킨 후 두개하악관절의 조직병리학적 변화

김문수,여환호,김수관,강태호,박정열,장현석 대한악안면성형재건외과학회 2000 Maxillofacial Plastic Reconstructive Surgery Vol.22 No.5

To investigate the histopathologic changes of the rabbit craniomandibular joint (CMJ), anterior disc displacement (ADD) was surgically induced. Of 15 rabbits, 9 were classified as experimental group, 3 as control of group, and 3 as sham-operation group, respectively The experimental group (9 rabbit) was subdivided into 6 weeks, 12 weeks, and 20 weeks group, respectively 3 rabbits. In experimental group, the disc was displaced anteriorly at the right side(operation side) and left CMJ was not operated(non-operation side). Both CMJs were harvested at 6, 12, and 20 weeks following surgery in experimental group. The CMJ was harvested at 6 weeks following surgery in sham-operation group. The specimens were examined under light microscope after hematoxylineosin and verhoeff staining. The obtained results were as follows: 1.In midsagittal view of control and sham-operation group, there were no degenerative and hyperplastic changes in the CMJ including articular disc, mandibular condyle, and temporal fossa. 2.Disc was shortened anterior-posteriorly and deformed of biconcave shape in all experimental group. In 20 week experimental group, intermediate zone of disc width was almost same as the width of posterior band of disc. 3.Soft tissue hyperplasia at the posterior attachment area of the disc and condylar hyperplasia were seen in the all experimental groups, but the degree of the hyperplasia was greater at 12, 20 weeks than at 6 weeks. 4.The number of elastic fiber in the disc proper was decreased and the direction and morphology was chanced in all experimental groups compared with those of control of groups. 5.Fatty degeneration was shown in non-operation side of 20 weeks experimental group. These results suggest that induced ADD in craniomandibular joint of rabbits could lead to a reparative and degenerative changes of the affected joint similar to those described for osteoarthrosis and osteoarthritis in human.