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손윤호,유재호,허준평 大韓成形外科學會 1992 Archives of Plastic Surgery Vol.19 No.1
Correction methods of devivated noses have been introduced and investigated for a long time in plastic surgical fields. However, owing to the complexity of the deviated structures, the septal deformities accompanying the external nasal deformities and the intrinsic characteristics of the deviated cartilage, the complete correction of the deformity is regarded as a difficult one. In our opinion, the keys to attaining consistently good aesthetic and functional results in the correction of a deviated nose are as follows : 1) Precise preoperative examinations of the deviated structures. 2) Selection of the most adequate operative method according to the various deformities. 3) Complete exposure of the deviated structures(for example, through the open rhinoplasty incision) and precise anatomical correction of the deformity. Following the above principles, we performed 13 cases of corrective rhinoplasty. We describe here the operative methods, results and the rationale of the operations.
김진철,이상헌,전태준,허준평 大韓成形外科學會 1981 Archives of Plastic Surgery Vol.8 No.2
Successful reconstruction of upper lip is a difficult and intriguing problem. Various surgical procedures have been proposed for the repair of upper lip deformities depending upon their causes, location, amount and association with other lesions, etc. Among them flat upper lip is an ever present problem for the surgeon who is called on to carry out secondary cosmetic repair on bilateral and even unilateral hare-lips. Also defect of lips due to congenital malformations, traumatic injuries, burn, the secondary of infection, to following the excision of tumors are varied in type and each type requires individual consideration. If the lesion is small, immediate closure after excision can be made and replacement of larger losses of upper lip has to brought adjacent or distant tissues to fill the defect. The best result is achieved by reconstruction the lip defect with composite skinmuscle-mucosal flap which reinnervated and show a high degree of function restitution.
외상성 수지(중수골-지골관절)의 Swanson氏 관절성형술
이영호,허준평,김동구,이상헌 대한성형외과학회 1981 Archives of Plastic Surgery Vol.8 No.1
Reconstruction of stiff and painful finger joint presents difficult problems and a completely satisfactory surgical solution is still wanting. Severe injuries involving the metacarpo-phalangeal joints often result in complete destruction of the joint with residual deformity and pain. Functionally, these fingers may be useless and frequently amputation is the only recourse. Numerous surgical procedures have been performed in attempting to correct this condition. However, the results of capsulectomy, arthroplasty, and arthrodesis are not always spectacular and may leave much to be desired. so the use of silicone rubber in developing implants for replants for replacement of the diseased and destroyed joints was suggested by Swanson(1968). This paper reviews our experience of the silastic arthroplasty in the post - traumatic metacarpo - phalangeal joint.
유리 비골 이식을 이용한 대퇴골 결손의 치험례 : 1예 보고
권대승,김경식,허준평,백세민 大韓成形外科學會 1984 Archives of Plastic Surgery Vol.11 No.2
Extensive injuries of the lower extrimity including bone and soft tissue loss are usually confronted with a difficult reconstructive problem. It is true that various trials have been done to solve this difficult problem but this problem has not been improved satisfactorily by conventional method. In recent, Marked development of microsurgery has made a new field for solving in such a difficult problem.
Medifoam®(Hydrophilic Polyurethane Foam)을 이용한 부분층 피부이식 공여부 치료에 대한 임상적 경험
박영오,민경원,허준평 대한성형외과학회 2002 Archives of Plastic Surgery Vol.29 No.4
The purpose of this study is to evaluate the effects of occlusive wet dressing by using hydrophilic polyurethane foam (Medifoam??) in the management of donor sites of split thickness skin graft. The outer layer of Medifoam?? is made of a polyurethane film, which is impermeable to water and microorganisms. It provides moist wound environment and effective bacterial barrier. The middle layer is polyurethane foam, the absorption layer. Its swelling ratio is 1020% and the layer contains wound promoters (Glycosamnioglycan, etc.). The inner layer is polyurethane film, which has micro pores whose size is below 20μm. It prevents epithelial ingrowth into the pore. We performed half side test to compare Medifoam?? to AHD (the hydrocellular dressing materials). We divided STSG donor site into AHD dressing site and Medifoam?? dressing site in random fashion.This study was performed in Seoul National University Hospital from April 2001 till August 2001 with 32 patients, who needed to skin graft.We investigated about pain, comfort, easiness of handling, and time for complete healing. The Medifoam?? dressed site had less pain, more comfortable, easier handling and more rapid wound healing. The average healing time of Medifoam?? is 9.4±1.9 days and AHD is 12.6±1.9 days(p<0.001). So we concluded that the occlusive dressing with Medifoam?? is an effective dressing method in split thickness skin graft donor site. And we expect that it is also effective dressing material in many other wounds.
피부이식에 대한 영역 임파절의 반응 : Morphometric and Morphologic Studies 특히 계측 및 형태학적 연구
박홍구,김동구,김성기,허준평,황오열,전태준,이유복,유재덕 大韓成形外科學會 1979 Archives of Plastic Surgery Vol.6 No.2
One of the most dramatic advancement in medical science during recent decades is the success of tissue and organ transplatation, which is achieved by control of immunologic responses. Phenomena of graft rejection has long been regarded as the result of immune reaction (Born, 1897 : Jensen, 1903, Tyzzer, 1909; Little, 1924; Snell, 1954; Medawar, 1944). Through the series of studies, this reaction has been proved to be mediated by lymphoid system(Russell, 1908; Fleisher, 1918; Loeb, 1918; Crossen; 1918 Murphy et al., 1926; Witchinson, 1954; Billingham, 1956; Medawar, 1959). Gallone et al(1952), Scorthone and Macgreger(1955), Radici and Peiredda(1957) and Masse et al(1960) reported that draining lymph nodes from graft site showed hyperplasia with increase of pyroninophilic cells but distant lymph nodes did not show notable alterations. Andre et al(1962) studied the response of lymphoid tissues following the 1st and 2nd set of skin homografts. They reported that in the 1st set homograft draining node showed proliferation of hemocytoblasts, enlargement of germinal center, and alteration of normal architecture while plasma cell response was not appreciable, and in the 2nd set graft similar changes appeared quicker and pronounced. These response developed first in the draining lymph nodes, but later on similar changes are also observed in distant nodes and spleen. Recently the morphology of the lymph node has been studied in detail and divided into different zones in relation to the function(Cottier, 1972; Adnerson et al, 1974). Thus, it became important to comprehend the morphologic response of the lympy nodes in relation to their functional implication. Therefore, the present study is aimed at investigating the fresponse of regional lymph nodes morphometrically and histochemically to evaluate morphologic changes with consideration of functional aspect following a non-specific stimulation, autograft, the 1st and 2nd set homografts of the skin in rabbits.
형남경,배경태,국광식,허준평,이석기 大韓成形外科學會 1996 Archives of Plastic Surgery Vol.23 No.1
Nail injuries are one of the most common injuries of the hand and the complete loss or deformity of the nail causes cosmetic as well as functional problems. Many reconstructive procedures have been introduced for reconstruction of the nail but the results have been variable. One hundred seventy-four nail & nail bed injuries were evaluated during the last 5 years. Methods of repair were described. Follow-up study was performed for 120 cases. The injuries were defined, categorized, and analyzed was done the chart review & the question papers. The authors was analyzed between patient's satisfaction & injuries level & injuries type.