Restylane 주사의 임상적 경험

남수봉,황소민,전재용,배용찬 대한미용성형외과학회 1999 Archives of Aesthetic Plastic Surgery Vol.5 No.2

하구순 편평세포암의 광범위 절제 후 Bernard씨 술식의 Webster씨 변법을 이용한 재건

남수봉,배용찬,최치원 대한성형외과학회 2005 Archives of Plastic Surgery Vol.32 No.2

Reconstruction of the lower lip requires consideration of several factors. There should be retained sensation, maintenance of oral sphincter function, and a large enough opening for the mouth. In addition, it is important to achieve an aesthetically acceptable appearance. Webster's modification of Bernard operation is one of good methods which satisfy above mentioned goals. The purpose of this article is to present the results and review the perioperative problems after reconstruction of the lower lip by this operation. We reviewed seven patients after surgical reconstruction by the same method between January of 1996 and December of 2003. Five patients were male and two were female. The mean follow-up period was 15 months. We obtained functionally and cosmetically acceptable appearance after reconstruction. Most of the reconstructed lower lips were large enough for full mouth opening, but one patient required additional commissuroplasty, and one other patient was treated with wound revision for dehiscence resulting from protrusion of mandibular lateral incisor tooth. All other patients accepted their facial appearance. In conclusion, careful planning and consideration for dental problems and proper closure tension may ensure satisfactory outcome & lower lip competence, when using this modified operative method for lower lip reconstruction.

얕은관자혈관의 임상 해부학적 분석

남수봉,최치원,황소민,김상호,배용찬 대한성형외과학회 2005 Archives of Plastic Surgery Vol.32 No.2

The anatomy and distribution of the superficial temporal vessels are known to follow regular patterns, with few exceptions in previous studies. But these previous studies of the anatomy and distribution of the superficial temporal vessels were based, only on the cadaver studies. Authors evaluated the anatomy of these vessels in the operative field of the living body from December 1997 to June 2001, The superficial temporal vessels were surgically exposed from the zygomatic arch extending to the superior temporal line through a preauricular incision in 18 patients(20 cases), who underwent reconstructive surgery using these vessels in the operative field. The authors measured and analyzed; the distribution, branching and diameters of the superficial temporal vessels. The results were obtained as follows;1.In 19 cases, STV(superficial temporal vein) runs posterior to STA(superficial temporal artery) at the upper border of the zygomatic arch.2.There was no frontal or parietal branches in 2 cases and vena comitante existed along with STA in one case.3.The external diameter of STA and STV was measured at the lower border of the zygomatic arch. The external diameter of STA ranged from 1.5mm to 3.0 mm(average 2.1mm) and those of STV ranged from 1.3mm to 3.5mm (average 2.0mm).This study can be helpful in the reconstructive surgery using the superficial temporal vessels, for the results of our study are based on the true anatomy of the living body.

안와 바깥파열골절에 대한 내시경적 접근법의 술후 결과에 대한 고찰

남수봉,배용찬,김경훈,최수종,이민우 대한두개안면성형외과학회 2007 Archives of Craniofacial Surgery Vol.8 No.2

안와 내벽 및 하벽 복합 파열골절 환자의 분류 및 술후 결과 분석

남수봉,이재우,김경훈,최수종,강철욱,배용찬 대한두개안면성형외과학회 2009 Archives of Craniofacial Surgery Vol.10 No.1

Purpose: This study presents a classification of pure medial and inferior blow-out fracture, and confirms the relationship between the types of fractures, postoperative complications and operative methods. Methods: Sixty patients were treated by transnasal endoscopic reduction with Medpor® implantation through subciliary incision and foley catheter insertion into maxillary sinus was done if there was extensive orbital floor fracture. Fractures were classified by number of coronal sections from posterior margin of fossa for lacrimal sac to orbital apex in CT. Type Ⅰ is defined when the medial wall fracture is over 50% and inferior wall fracture below 50%. Type Ⅱ, when below 50% medial wall fracture and over 50% floor fracture were present. If there were both over 50%, it was classified as Type Ⅲ and both below 50% for Type Ⅳ. Extreme fracture involving orbital buttress was Type Ⅴ and postoperative findings in all patients were examined. Results: Type Ⅰ and Ⅴ were most common and preoperative findings were more likely to present according to extent of inferior fracture. Diplopia remained in 2 cases after additional insertion of foley catheter, but enophthalmos over 2 mm were presented in 3 cases and diplopia in 3 cases were observed who were not treated with foley catheter. Conclusion: Postoperative complications were increased according to extent of fracture, especially buttress involvement. Additional insertion of foley catheter proved its effectiveness in decreasing postoperative complications.

DMH에 의한 비정상적인 혈관 내피세포의 증식에서 Protein Kinase C 동종효소 Alpha 단백발현의 특성

남수봉,배용찬,박숙영,최수종 대한성형외과학회 2007 Archives of Plastic Surgery Vol.34 No.6

Purpose: DMH(1,2-dimethylhydrazine) has been known to induce vascular neoplasm such as malignant endothelioma in animal experiment, through induction of abnormal proliferation of HUVECs. In our previous studies, 11 types of PKC isoenzymes were determined by RT-PCR and the expression of PKCα, and μ was more prominent than other PKC isoenzymes in the DMH-treated group. However, this result was not based on objective assessment. In this study, we further evaluated the role of PKCα on the DMH-induced abnormal proliferation of HUVECs by two different methods to identify its presence with high relevance in objective view. PKCμ will be investigated in further study.Methods: The study was conducted with the cultured HUVECs group(control) and the 0.75×10-9M DMH- treated group. After processing protein extraction in 0 and 24 hour, extracted protein was treated of quantitative test through BCA protein assay. In the western blot analysis, electrophoresis was performed in the order of gel preparation, sample preparation, and gel running. Electrotransfer to nitrocellulose membrane and reaction with antibody were done. Detection of PKCα was achieved through "Gel Image Analysis System". In the fluorescence immunocytochemical analysis, the grading of radiance of the intracellular PKCα particles was detected with confocal microscope after treating with primary and fluorescent secondary antibody in 0 and 24 hours. Results: The Western blot analysis showed increased PKCα expression from the specimen obtained in 24 hour of the DMH treatment group when compared to those in control group. Under confocal fluorescence microscope, the emitting radiance in the DMH treated group was brighter at 24 hours as well. Conclusion: We believe that PKCα plays a role in DMH-induced abnormal proliferation of the vascular endothelium, which may provide insights in understanding the vascular neoplasm.

Investigation of the dorsolateral branch of the posterior intercostal artery for use as the pedicle of a free flap: A cadaveric study and case series

남수봉,Jung Yeol Seo,박태서,성지윤,김주형,이재우,Min Wook Kim,Heung Chan Oh 대한성형외과학회 2019 Archives of Plastic Surgery Vol.46 No.1

Background The dorsolateral branch of the posterior intercostal artery (DLBPI) can be easily found while harvesting a latissimus dorsi (LD) musculocutaneous flap for breast reconstruction. However, it remains unknown whether this branch can be used for a free flap and whether this branch alone can provide perfusion to the skin. We examined whether the DLBPI could be reliably found and whether it could provide sufficient perfusion. Methods We dissected 10 fresh cadavers and counted DLBPIs with a diameter larger than 2 mm. For each DLBPI, the following parameters were measured: distance from the lateral margin of the LD muscle, level of the intercostal space, distance from the spinal process, and distance from the inferior angle of the scapula. Results The DLBPI was easily found in all cadavers and was reliably located in the specified area. The average number of DLBPIs was 1.65. They were located between the seventh and eleventh intercostal spaces. The average length of the DLBPI between the intercostal space and the LD muscle was 4.82 cm. To assess the perfusion of the DLBPIs, a lead oxide mixture was injected through the branch and observed using X-rays, and it showed good perfusion. Conclusions The DLBPI can be used as a pedicle in free flaps for small defects. DLBPI flaps have some limitations, such as a short pedicle. However, an advantage of this branch is that it can be reliably located through simple dissection. For women, it has the advantage of concealing the donor scar underneath the bra band.

소아나 협조가 힘든 환자에서 봉합사 제거가 쉬운 봉합법

남수봉,오흥찬,강철욱,최수종,배용찬 부산대학교 병원 암연구소 2009 부산대병원학술지 Vol.- No.25

Treatment of Nonsyndromic Craniosynostosis Using Multi-Split Osteotomy and Rigid Fixation with Absorbable Plates

남수봉,남경욱,이재우,송경호,배용찬 대한두개안면성형외과학회 2016 Archives of Craniofacial Surgery Vol.17 No.4

Background: Nonsyndromic craniosynostosis is a relatively common craniofacial anomaly and various techniques were introduced to achieve its operative goals. Authors found that by using smaller bone fragments than that used in conventional cranioplasty, sufficiently rigid bone union and effective regeneration capacity could be achieved with better postoperative outcome, only if their stable fixation was ensured. Methods: Through bicoronal incisional approach, involved synostotic cranial bone together with its surrounding areas were removed. The resected bone flap was split into as many pieces as possible. The extent of this ‘multi-split osteotomy’ depends on the degree of dysmorphology, expectative volume increment after surgery and probable dead space caused by bony gap between bone segments. Rigid interosseous fixation was performed with variable types of absorbable plate and screw. In all cases, the pre-operational three-dimensional computed tomography (3D CT) was checked and brain CT was taken immediately after the surgery. Also about 12 months after the operation, 3D CT was checked again to see postoperative morphology improvement, bone union, regeneration and intracranial volume change. Results: The bony gaps seen in the immediate postoperative brain CT were all improved as seen in the 3D CT after 12 months from the surgery. No small bone fragment resorption was observed. Brain volume increase was found to be made gradually, leaving no case of remaining epidural dead space. Conclusion: We conclude that it is meaningful in presenting a new possibility to be applied to not only nonsyndromic craniosynostosis but also other reconstructive cranial vault surgeries.

침윤성 지방종을 동반한 대퇴부의 거대 피부 지방종성 모반의 치험례

남수봉,오흥찬,이재우,강철욱,최수종,배용찬 부산대학교 병원 암연구소 2008 부산대병원학술지 Vol.- No.24

Purpose : Nevus lipomatosus cutaneous superficialis is a rare type of benign soft tissue tumor, which appears as nodules of various size, and it is mainly located on lower extremity, buttock or thigh. Since the condition was first described by Hoffman and Zurhelle in 1921, a number of cases have been reported in Korea. However, nevus lipomatosus cutaneous superficialis combined with infiltrative lipoma is a very rare case. So we report the experienced case of huge multiple nevus lipomatosus cutaneous superficialis combined with infiltrative lipoma around the muscle layer. Methods: A-52-year old male presented with small masses on lateral surface of left thigh. These masses have appeared since he was approximately 10 years old approximately and tended to conjoin each other. Because of no specific symptoms, he didn't take any treatment before visiting PNUH. As the conjoined masses growing, it made discomfort in the ordinary life. The lesion was cerebriform tumor (30cm x 25cm). During the operation under general anesthesia, we removed completely the masses with lipoma that involved muscle layer. And then we covered the area of exposured muscle and fascia with artificial dermis(Surederm) and reconstructed with using procedure of split thickness skin graft. Results: The subcutaneous fat was dissected and the masses were resected with fascia and some fatty layer that involved muscle layer around gluteus maximus muscle. In the histologic finding, the clusters of fat cells were scattered at papillary dermis and reticular dermis, and a quarter of dermis was replaced by adipose tissue. Conclusions : Although we couldn't find out the relationship between the infiltrative lipoma and nevus lipomatosus cutaneous superficialis. We experienced the unreported case of nevus lipomatosus cutaneous superficialis accompanied with infiltrative lipoma which invaded around gluteus maximus muscle and spermatic cord. With this cases, we hope it would help the mechanism of nevus lipomatosus cutaneous superficialis with additional investigation of the relationship or sequence between this disease and infiltrating lipoma.