복부 성형술

위성신,함기선 최신의학사 1983 最新醫學 Vol.26 No.5

비대칭성 상안검의 이차적 안검교정술

위성신,조문제,임풍 최신의학사 1984 最新醫學 Vol.27 No.4

종양에 의한 비대칭성 유방의 치험례 : 2례 보고

위성신 최신의학사 1988 最新醫學 Vol.31 No.12

한국 미인대회 참가자들에 과한 생체계측

위성신 가톨릭대학 (가톨릭신학대학) 대학원 1982 가톨릭大學醫學部 論文集 Vol.35 No.1

토론문

위성신,김성희,박연숙,백로라,김영균,임혜경,양기찬,배혜화,이은경,김기영,남육현,이용복,이주훈,최함이,서명수,김선욱 공연과이론을위한모임 2007 공연과 이론 Vol.- No.27

手指 再接合術後 合倂症과 그 處置

李相虎,林豊,魏聖信 大韓成形外科學會 1983 Archives of Plastic Surgery Vol.10 No.3

Since the successful replantation of an amputated arm by Malt and McKhann in 1962, a large number of replantations have been performed on the world with survival rate of over 95 per cent, however, the functional recovery was not satisfactory. To obtain good functional recovery the complications following replantation must be prevented and managed adequately. Authors reviewed the complications following replantations of 52 digits and a forearm which have been performed between March 1979 and March 1983 in the department of Plastic Surgery Catholic Medical School. The complications were 7 thrombosis, 3 profuse bledings, 4 nonunions, 1 malunion, 4 sensory disturbances, 27 limitation of motions and 2 partial skin necrosis. Vascular complications were seen in 10 digits. Eight of them failed primarily because of thrombosis. Thrombosis of the anastomosis sites developed mostly within postoperative 24 hours. Re-exploration and thrombectomies were performed immediately but not improved due to long ischemic time or crushed type injury. Profuse bleeding occured in 3 digits on the postoperative 3rd to 4th day. In two of three cases the bleedings were controlled with cessation of heparinization and compressive dressing. Nonunion and malunion of bone developed in 5 cases. Bone graftings were carried out in 4 cases to remedy the nonunion. Sensory recovery was relatively satisfactory in almost all patients but revisions and nerve grafting were needed in 4 patients. Impaired joint motion was the most common problems in 27 digits ewpecially in PIP joint. Joint stiffness resulting from immobilization and adhesions in the extensor mechanism or within the flexor tendon sheath were the most common causes of the limited range of motion. In 4 disits tenolysis were performed and the results were satisfactory.

실리콘 겔이 흰쥐의 좌골 신경 및 복강내 장기에 미치는 영향에 대한 실험적 연구

서은주,임풍,조문제,곽창곤,유결,위성신 大韓成形外科學會 1995 Archives of Plastic Surgery Vol.22 No.3

Silicone gel has been used for mammary implants contained in a silicone elastomer envelope. Following rupture of a silicone prosthesis, silicone gel can migrate along the soft tissue to the upper extremity or distant sites, probably resulting in symptoms of nerve dysfunction. The purpose of this ecperiment was to study the effects of silicone gel on the peripheral nerve and intraperitoneal organs. Silicone gel was placed extraneurally (n=16) adjacent to and injected directly in the left sciatic nerve (n=16) and in the peritoneal cavity (n=32) of male Sprague-Dawley rats over a 22-week period. For comparison, saline was injected into the contralateral site. For the study of functional changes in the nerve, sciatic function index(SFI) was calculated from gait analysis. Extraneural silicone gel elicited an intense inflammatory response initially by predominantly histiocytes with a few eosinophils, lymphocytes, and foreign-body giant cells. The cellular response peaked at 6 weeks, and then the thickness of the cellular infiltration surrounding the gel decreased gradually followed by collagen deposition after 10 weeks. The silicone gel had migrated and broken into smaller droplets with time. Each droplet appeared to initiate the inflam mation-fibrosis cycle anew. Perineural fibrosis was marked by 14 weeks and the thickness of epineurium was tripled at 22 weeks. No silicone gel penetrated the epineurium and there was no demyelination in the sciatic nerve. Intraneurally injected silicone gel also caused a delayed inflammatory response around the silicone gel which was similar to that of the extraneural group, but there was no migration and breakup into smaller droplets. The nerve fibers were slightly split but had sparsely demyelinized. The intraperitoneally injected silicone gel caused a nonspecific inflammation at the omentum, peritoneum, and liver. But, the silicone gel remained in the peritoneum and omentum with time, and no gel was found in the liver. The SFI's at 18 weeks were-5.90(extraneural group) and -8.18 (intraneural group), and - 6.30 (right leg for control), which were within normal limits (-1.9± 6.3), and the indices implied no functional abnormality. This experimental study showed that silicone which was injected extraneurally and intraneurally and in the peritoneal cavity caused little inflammatory reaction and fibrosis an presented no toxic reaction. The silicone gel left in the peritoneal cavity and omentum were not systemically absorpted, but caused no histologic abnormalities during experimental period. In conclusion, the free silicone gel would cause minor problems, such as mild compressive symtom. It is recommended the free silicone gel should be removed as early as possible.

정상인 및 연구개 인후간 부적합 교합한자에서의 폐쇄형태에 대한 내시경적 조사

함기선,조문제,임풍,위성신 大韓成形外科學會 1980 Archives of Plastic Surgery Vol.7 No.1

Visual assessment of the velopharyngeal port is the most effective way determining portal function during phonation. The visualization test can be divided into direct and indirect methods. Direct methods involve viewing the movement of the velum and pharyngeal walls either via nasal endoscopy or panendoscopy. Indirect methods utilize radiographic, ultrasound and electromyorgraphic test. While the enface view of contact or gap between velum and pharyngeal wall can be visualized more effective in former, the sagittal image can be shown well in radiographic technique. So the combination of endoscopy and multiview radiofluoroscopy should be more appropriate method for evaluation velopharyngeal incompetent patients. among above the assesments, the authors carried out endoscopic examination to evaluate motilities and closure patterns of velopharynx in 103 normal speakers and 57 velopharyngeal incompetent patients with age between 7 to 32. They were all seen at St. Mary's Hospital cleft lip and palate clinic during the last 3 years. The closure patterns of velopharynx are not uniform an can be divided to several types depend upon the relative contribution of the velar and pharyngeal components to the closure mechanism. When velar and pharyngeal components either contributed relatively equally, we categorized to mixed type. coronal type was confined to somewhat greater velar than pharyngeal motion and circular type to greater pharyngeal than velar motion. It was more difficult to defined the types in normal speaker than velopharyngeal incompetent patients. The results were summarized as follow 1. Among the 103 cases with normal speakers, 67 cases showed mixed type, 20 with coronal type and 16 with circular type. 2. In 57 velopharyngeal incompetent patients, the type C was revealed most frequent in 28 cases, 13 in type B, 12 in type D and 2 in each type A and B. Type A and C could be categorized to mixed type in normal speaker's classification. Type B corresponded to coronal type and type D and E definded to circular type. The type E was the circular narrowing pattern with Passavant's ridge (spotted area). 3. Passavant's ridge was revealed 21 cases(37%) in 57 velopharyngeal incompetent patients.

한국미인의 생체계측학적 연구

이재웅,함기선,조용진,위성신 大韓成形外科學會 1981 Archives of Plastic Surgery Vol.8 No.2

Anthropometry makes it possible to analyze body proportions and identify body build and growth patterns. The plastic surgeons who mostly. dealing with the trauma and deformity of face, need to have a good knowledge of the accurate anatomical morphology and biometrically acceptable proportion of face. So, the data earned by measuring the face and physique of so called Korean beauties are important tothe plastic surgeons. What the authors call Korean beauties here are the representives of each district who have participated in the beauty contest of Korea. The beauty, of course, is so subjective that we can scarsely insist that those beauty contestants are the representative of Korean beauty in every sense. But, if we need to hold some common view about beauty, we could be allowed to have a objective standard. Therefore, the authors believe that it is very useful to get some analytic report on the standard criterion of Korean beauties. The authors have measured and studied the physique of the 125 beauty contestants selected from all the disricts from 1978 to 1981, and presented the mean, standard deviation by the tables (Here the measurements were performed by the method of "Martin"). Followings are the conclusion. Part Ⅰ : The summary of data tables. 1. Table 1,2,3 showed the means and standard deviations of physiognomic facial height, forehead height, total jaw height, nasal height, nasal depth, philtrum length, upper lip height,lower lip height, physiognomic ear length, forehead breadth, bizygomatic breadth, inner canthal distance orbital cleft length, nasal breadth, bichelion breadth, physiognomic ear breadth, pronasal angle, nasolabial angle, stature, weight, length of upperlmb,height of anterior superior iliac spine, breadth. 2. Table 4 showed the means and standard deviations of various indices of Korean beauties. Part Ⅱ: The conclusions drawn by the data. 1. The physiognomic facial height is divided in equal thirds by horizontal lines drawn through glabella and subnasale. 2. The physiognomic facial height is one ninth of stature, four ninth of upper limb length, five ninth of anterior superior iliac spine height. 3. The forehead breadth is almost same as bizygomatic breadth. 4. Orbital cleft length, inner canthal breadth, nasal breadth, nasal breadth are one fifth of bizygomatic breadth. 5. Nasal height is one fourth of physiognomic facial height and the nose is leptorrhine type. The pronasal angle and nasolabial angle are approximately 90 degree. 6. The physiognomic ear length is one third or physiognomic facial height and is twice of physiognomic ear breadth. 7. The philtrum is one third of bichelion breadth. 8. The upper limb length is four ninth of stature and anterior superior iliac spine height is five ninth of stature. The biacromial breadth is one fifth of stature.

액취증환자에서 액와부 Apocrine한선의 조직학적 위치, 크기 및 분포

변준희,임풍,위성신 大韓成形外科學會 1988 Archives of Plastic Surgery Vol.15 No.4

xillary oxmidrosis is caused by excessive apocrine secretion with acrid odor and causes extreme social embarassement. The best solution in axillary osmidrosis is a radical surgical procedure to remove the apocrine glands. The distribution of apocrine glands in exact terms would be required to describe an operation for complete excision of the apocrine glands. The poor knowledge about the distribution of apocrine glands led us to study about it. The location, size and distribution of apocrine glands in the axillary osmidrosis were determined histologically in the resected specimens. Observation of histological finding about apocrine glands in the axilla led to the following conclusions. 1. The apocrine sweat glands in the axilla was extended from lower dermis into the subcutaneous fat deeply. 2. The maximum diameters of the apocrine glands in the center of the axillary region was significantly larger than those in the periphery. It shows a tendency to decrease. 3. The main distribution of apocrine glands in the axilla was confined to the center of the axillary region, expecially within 6 x 3 cm.