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강재경,송정국,정현교,신명수,윤병민,Kang, Jae Kyoung,Song, Jung-Kook,Jeong, Hyun Gyo,Shin, Myoung Soo,Yun, Byung Min 대한두개안면성형외과학회 2012 Archives of Craniofacial Surgery Vol.13 No.2
Purpose: To reconstruct the midface, local flaps such as nasolabial flaps have been frequently used. These local flaps, however, have the shortcomings of requiring a secondary operation or limitations in the movement of the flap. Thus, new methods have been developed. This paper reports a case wherein the basal cell carcinoma on the cheek was resected and the skin and soft tissue defect was successfully treated using a facial artery perforator flap. Methods: A 68-year-old female consulted the authors on the basal cell carcinoma that developed on her cheek. The mass was fully resected and revealed a $2.3{\times}2.3cm$ defective region. Using a Doppler ultrasonography, the facial artery path was traced, and using a loupe magnification, the facial artery perforator flap was elevated and the defective region was covered with the flap. Results: The flap developed early venous congestion, but it disappeared without any treatment. Six months after the surgery, the patient was satisfied with the postoperative result. Conclusion: The facial artery perforator flap has a thin pedicle. It offers a big arc of the rotation that allows free movement and one-stage operation. These strengths make the method useful for the reconstruction of the midface among other procedures.
강재경 ( Jae Kyoung Kang ),배수명 ( Soo Myung Bae ),송윤신 ( Yun Shin Song ),안세연 ( Se Youn Ahn ),한지연 ( Ji Youn Han ) 대한예방치과·구강보건학회 2009 大韓口腔保健學會誌 Vol.33 No.4
Objectives: The purpose of this study was to determine the depth of parents` knowledge, awareness, and attitude towards child oral health. The use of these results were fundamental for developing an oral health education program for parents of children. Methods: This study was conducted using a survey questionnaire on 206 parents of children who were educated with oral health at preschool child educational facilities in Seoul and Kyunggi-Do from 1 July 2008 to 30 August 2008. The survey consists of 4 questions about personal information, each 11 questions for parents` knowledge and awareness regarding children`s oral health, and 8 questions for parents` attitude towards children`s oral health. SPSS (SPSS 14.0 for Windows, SPSS Inc, USA) was used to perform the analysis. Results: A point converted from the parents` level of knowledge regarding the dental health turned out to be 7.4 out of a possible 11. In addition, it was found that 75.7% of respondents did not have clear information regarding fluoride. Moreover, 85.4% of respondents did not have accurate information regarding the amount of sugar in a given beverage. The majority of parents(92.3%) said that it was either one for children or contained fluoride as recommended toothpaste for their children. But 66% of respondents said that they had used over half of toothbrush length in amount of toothpaste. It was reported that 83% of children consume some beverages, such as yogurt(42.7%) and milk(33.5%) before going to bed. Most of parents seemed aware of the importance of dental health at child`s age, whereas 41.7% responded that they were not sure if they were well-instructed on how to brush their children`s teeth. Just over half of parents(55.8%) had been advised on how to brush teeth well and 55.1% of them head been given proper information regarding the brushing method from the dentist. Conclusion: An oral health education program for both children and parents needs to be developed. And, it must contain appropriate and sufficient information regarding dietary management, fluoride and tooth-brushing methods for children`s oral health.
일부 세치제와 주방세제 사용에 의한 의치상 레진의 표면변화
강재경 ( Jae Kyoung Kang ),김수화 ( Soo Hwa Kim ),유은미 ( Eun Mi Yoo ),최혜숙 ( Hye Sook Choi ),최유리 ( Yu Ri Choi ),김광만 ( Kwang Mahn Kim ) 한국치위생학회 2012 한국치위생학회지 Vol.12 No.3
Objectives: This study evaluated the changes in surface roughness of denture base resin according to the types of denture cleansers. Methods: A denture base resin (Vertex RS, Dentimax, Netherland) was used. Two toothpaste (Antiplaque, Bukwang, Korea; 2080, Aekyung, Korea) and a kitchen detergent (Trio, Aekyung, Korea) were used as a denture cleanser. The specimens were put on the V8 crossbrushing machine (Sabri enterprises, Downers grove, IL, USA) to reproduce toothbrushing and the toothbrushes were flat, round end and soft type, The surfaces of denture base resin specimens were observed by profilometer (SJ-400, MITUTOYO, Japan) and SEM(S-3000N, Hitachi Co., Ibaraki, Japan). Results: 1. According to the result of measuring surface roughness, there was statistically significant difference in Ra, Rq, and Rz(p<0.05). 2. As for Ra, Rq and Rz, Antiplaque toothpaste showed the highest roughness, and there was significant difference from other groups(p<0.01). 2080 toothpaste, Trio, and distilled water were classified as the same group. 3. According to the result of observation with the SEM, the surfaces of the Antiplaque toothpaste group after toothbrushing showed the greatest roughness, and the surfaces of 2080 toothpaste, Trio, and distilled water groups were rough in order. Trio and distilled water had the surfaces similar to those before toothbrushing. Conclusions: Studies to compare the efficacy of denture management methods and examine the effects of denture cleansers on denture materials will be helpful for dental hygienists and dentists providing patients with proper information and education. And it will be also useful for denture users` oral health.
OHIP를 이용한 유아교육기관 교사의 구강건강과 삶의 질과의 관계
강재경 ( Jae Kyoung Kang ),이선미 ( Sun Mi Lee ) 대한예방치과·구강보건학회 2010 大韓口腔保健學會誌 Vol.34 No.3
Objectives. This research was implemented to improve kindergarten teachers oral health and quality of life (QOL). Methods. A survey targeted 219 kindergartens teachers from June to August in 2009. Survey contents were general attributes, oral health awareness, attempts to improve oral health, and an oral health impact profile index short (OHIP-14). The oral health promotion behavior measured using the Likert scale, `most frequently` as 4, `frequently` as 3, `a few` as 2, `rarely` as 1, `never` as 0. The total score of the oral health-related QOL ranged from 0 to 56 points. The higher score means that the person has lower oral health-related QOL. Responses were, statistically analysed using SPSS version 15.0 for Windows. Also, independent t test and one-way ANOVA were conducted to reveal between-group differences concerning attempts to improve oral health and oral healthrelated of `actions for improving oral health` and `oral heath-related QOL. Phased multiple regression analysis was conducted to reveal the factors affect in oral heath-related QOL. Post-hoc comparisons were done using the Duncan multiple range test. Results. Almost one-quarter (23.7%) of respondents considered their oral cavity to be healthy. Most respondents (94.1%) were concerned with their oral health, indicating a high rate of oral health awareness. Overall, attempts to improve oral health averaged 2.95 points on the 5.0 points scale and overall oral health-related QOL was 9.41 points. Attempts to improve oral health were frequent in private kindergarten teachers (3.20 points) and teachers who were aware that their oral cavity was healthy (3.25 points). Reduced oral health QOL was associated with reduced concern for oral health and increased prevalence of oral disease. The most important factor affecting oral health-related QOL was proper tooth brushing. Other important factors were abstaining from alcohol and proper nutrition. Conclusions. Oral health education information such as proper tooth brushing and increased attention to oral health are important in increasing oral health-related QOL of kindergarten teachers in Korea.
수지 첨부 손상에서 피부이식을 동반하지 않은 무세포 진피조직의 사용
이동휘,강재경,Lee, Dong Hui,Kang, Jae Kyoung 제주대학교 의과학연구소 2018 The Journal of Medicine and Life Science Vol.15 No.1
The most common surgical repair method for fingertip injuries are replantation, flap coverage, and skin graft. In fingertip injury cases, acellular dermal matrix (ADM) is generally used in a two-stage operation. In the present case, only ADM was used in a 67-year-old male patient with a right fifth fingertip injury. The patient was undergoing chemotherapy after surgery for colon cancer, preventing prolonged hospitalization. In addition, wound healing was likely to be problematic. As a typical surgical method might have been difficult to apply in such a patient, we performed a one-stage operation, using only ADM on the injured area. Postoperative followup for 3 months showed good wound healing. Accordingly, we report a successful treatment outcome using ADM alone for a fingertip injury.