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남정훈,노경록,유우근,이병민,전지현,박수현,안장훈,김정희,Nam, Jeong-Hun,Noh, Kyung-Lok,Yoo, Woo-Geun,Lee, Byeong-Min,Jeon, Ji-Hyeon,Park, Su-Hyun,Ahn, Jang-Hoon,Kim, Jung-Hee Korean Association of Maxillofacial Plastic and Re 2011 Maxillofacial Plastic Reconstructive Surgery Vol.33 No.1
The goal of this treatment is the surgical-orthodontic eruption of impacted permanent teeth associated with a large dentigerous cyst in a preadolescent patient. Although enucleation of the entire cyst and the extraction of impacted teeth are common treatments, missing permanent teeth cause several problems in young patients. In this report, an 11-year-old female visited with the chief complaint of a large radiolucent lesion from the mandibular anterior area to the left mandibular posterior area. The permanent left canine and premolars were displaced toward the mandibular inferior border area. The extraction of infected deciduous teeth and marsupialization were performed. After 4 months, orthodontic buttons for forced eruption were applied to the impacted permanent teeth. The teeth emerged into the oral cavity 3 months after the orthodontic treatment. Although the root form was abnormal, there were no other pathogenic signs. The alveolar bone had a normal trabecular pattern and the teeth appeared to be well maintained at postoperative 24 months.
Botryoid Odontogenic Cyst on Mandibular Anterior and Both Body Area: a Case Report
남정훈,김다영,박영주,안장훈,강태인,박미희,유우근,김보균,이정원,김정희,Nam, Jeong-Hun,Kim, Da-Young,Park, Young-Ju,Ahn, Jang-Hoon,Gang, Tae-In,Park, Mi-Hee,Yu, Woo-Geun,Kim, Bo-Gyun,Lee, Jung-Won,Kim, Jung-Hee Korean Association of Maxillofacial Plastic and Re 2010 Maxillofacial Plastic Reconstructive Surgery Vol.32 No.4
Botryoid odontogenic cyst (BOC) is considered a rare multilocular variant of the lateral periodontal cyst. In this report, a 67-year-old male visited with chief complaint of severe mobility on mandibular incisors. Multilocular radiolucent lesion was seen from the right premolar to the left premolar area, involving almost the whole mandible. Histologically, the botryoid odontogenic cyst showed focal nodular thickening of the lining epithelium. These thickening often showed swirling appearance of the cells. Cyst enucleation and bone graft on mandible anterior and both body area were performed under general anesthesia, and postoperative healing was favorable without recurrence.
한방병원에 입원한 뇌중풍 환자의 베개 높이에 관한 연구
남정훈 ( Jung Hun Nam ),조성우 ( Sung Woo Cho ),고경훈 ( Gyung Hoon Ko ),김봉현 ( Bong Hyun Kim ),이인선 ( In Seon Lee ) 한방재활의학과학회 2007 한방재활의학과학회지 Vol.17 No.1
Objectives: The purpose of this study is to investigate the relation of pillow height for stroke patients. Methods: One hundred fourteen stroke patients were enrolled in this clinical study. The height of pillow was measured from the datum surface to occipital protuberance after 5 minutes in supine position. This study is an attempt to analyse the relation between the pillow height and the angle of cervical spine to shoulder joint, and compare the result with normal subjects. Results: The average height of pillow was 11.32【2.66cm, and this value is much higher than 5.0【10cm which is claimed to be the ideal height from some previous studies, and also greater than 10.1cm which is the average pillow height from other related studies. Logistic egression was used to determine the influence of various elements, and one where the group was divided into male and female seemed to show significant difference on the pillow height, where preceding diseases seemed to have no effect either on the pillow height nor the curvature of the cervical spine, which had the average value of 32.03【6.04∑. Conclusions: This results suggest that stroke patients use higher pillows than normal subjects. More studies are required about the effect of pillow height on cerebral blood flow and stroke, and the method of measuring the pillow height and the curvature of cervical spine
남정훈(Jeong Hun Nam),박종철(Jong Chul Park),유상배(Sang Bae Yu),정용일(Yong Il Chung),태기융(Gi Yoong Tae),김정주(Jung Ju Kim),박용두(Yong Doo Park),장정원(Jeong Won Jahng),이종호(Jong Ho Lee) 대한구강악안면외과학회 2009 대한구강악안면외과학회지 Vol.35 No.3
As an efficient controlled release system for rhBMP-2, a functional nanoparticle-hydrogel complex, incorporated with matrix metalloproteinase(MMP) sensitive peptide cross-linker, was developed and used as a bone transplant. In vivo bone formation was evaluated by soft x-ray, histology, alkaline phosphatase(ALP) activity and mineral contents analysis, based on the rat calvarial critical size defect(8mm in diameter) model. Significantly, effective bone regeneration was achieved with the rhBMP-2 loaded MMP sensitive hyaluronic acid(HA) based hydrogel-Nanoparticles(NP) complex, as compared to only MMP HA, the MMP HA-NP without rhBMP-2, or even with the rhBMP-2. These improvements included the formation pattern of bone and functional marrow, the degree of calcium quantification, and the ALP activity. These results indicate that the MMP sensitive HA with nano-particle complex can be a promising candidate for a new bone defect replacement matrix, and an enhanced rhBMP-2 scaffold.
가토골수에서 유래된 골모세포의 하악골 결손부 이식시 골형성에 미치는 효과
박영주,남정훈,김보균,전민수,정재안,이정원,안장훈,강태인,박미희,임성철,Park, Young-Ju,Nam, Jeong-Hun,Kim, Bo-Gyun,Jeon, Min-Su,Chung, Jae-An,Lee, Jung-Won,Ahn, Jang-Hoon,Gang, Tae-In,Park, Mi-Hee,Lim, Sung-Chul 대한악안면성형재건외과학회 2010 Maxillofacial Plastic Reconstructive Surgery Vol.32 No.4
Purpose: The purpose of this experiment was to evaluate the clinical effect of cultured autoglogous osteoblasts as a way to treat the defect of mandible in rabbits. Materials and Methods: Twelve rabbits were used to determine the rate of osteogenesis. The osteoblasts were obtained from the iliac crest of rabbits using aspiration. They were then cultured in Dulbecco's Modified Eagles's Medium (DMEM) with beta-glycerophosophatate, L-ascorbicacid, and dexamethasone to proliferate and differentiate osteoprogenitor cells. The expression of osteogenic markers were detected by reverse transcription-polymerase chain reaction (RT-PCR) and silver nitrate staining techniques. Five, 10-mm holes were placed in each rabbit mandible to simulate defective regions with the use of a low speed trephine bur. In the experimental group, the previously cited defects were grafted with both activated osteoblastic and autogenous bone. The control group, however, was only grafted with autogenous bone. Both groups were then analyzed at 2, 4, and 8-week intervals using bone histomorphometric analysis. Results: According to histomorphologic analysis, the rates of new bone formation at the 2, 4, and 8-week intervals were 36%, 51%, and 23% for the control group, respectively; 52%, 39%, and 28%, for the experimental group, respectively. The experimental group showed higher rates of new bone formation compared to the control group at both the 2-week and 8-week interval. Conclusion: Bone marrow-derived osteoblasts seems to be a promising bone graft material.
한방병원에 입원한 교통사고 환자 34명에 대한 임상적 고찰
조성우,고경훈,남정훈,김봉현,이인선,Cho, Sung-Woo,Go, Kyung-Hoon,Nam, Jung-Hun,Kim, Bong-Hyun,Lee, In-Seon 척추신경추나의학회 2006 척추신경추나의학회지 Vol.1 No.2
Objective: The purpose of this study is finding tendencies admission patients to orient medical hospital due to Traffic Accident. Method: We studied 34 cases who were admitted in Dong-eui University Oriental Hospital from 1st, December, 2003 to the 30st, May, 2005. And we came to some conclusion about clinical tendencies as follows. Results and Conclusions: 1. Women had occupied more than men, And 10 persons in 30th were the most distribution of age. 2. Most patients used western medical hospital as primary hospital and after several days they started to search for orient medical treatments. 3. In the diagnosis through radiological test, cervical spine sprain was most(19 cases, 55.6%). The others were lumbar spine sprain(14 cases, 41.2%), fracture of other bone{4 cases, 11.8%), fracture of spine(3 cases, 8.8%), Intercranial hemorrhage(3 cases, 8.8%). 4. In chief complaint, low back pain was most(19 cases, 55.9%), The others were neck stiffness(17 cases, 50.0%), headache(13 cases, 38.2%), lower limb pain(9 cases, 26.5%). 5. Simple Disease had higher than complex disese at effective rate. 6. Both $43{\sim}60$ days admission and $15{\sim}21$ days admission were the best effective. $8{\sim}14$ days admission was next effective. 7. Early visit made more effective.
3-D CT를 이용한 악교정술 전후의 하악과 설골의 위치에 관한 연구
이상한(Sang-Han Lee),남정훈(Jeong-Hun Nam),정창욱(Chang-Wook Jung),권대근(Tae-Geon Kwon) 대한구강악안면외과학회 2003 대한구강악안면외과학회지 Vol.29 No.3
Purpose : This study was intended to evaluate the positional relationship between the hyoid bone and the mandible in patients with mandibular protrusion after mandibular set-back surgery by means of 3D-CT. Materials and methods : Preoperative(3 weeks before) and postoperative (6 weeks after) 3D-CT & cephalogram were taken on 32 patients(12 male, 20 female, mean age of 23.2) treated by bilateral sagittal split osteotomy with rigid fixation. The angular measurement on 3D-CT basilar view were deviation of Me & H, long axis angle of left & right cornu majus. The lineal measurement on 3D-CT basilar view were composed of intercondylar line and coordinates(x,y) of Me & H. The angular & lineal measurement of lateral cephalogram were composed of mandibular plane angle, SNA, SNB, ANB, FH-NA & FH-NB, and coordinates(x,y) of B, Pog, Me & H, PAS, Lpw, MPH and IAS. On the frontal cephalogram, deviation of Me were evaluated. Results : The mean mandibular set-back was 8.0mm horizontally and mandibular plane angle was slightly increased. The hyoid bone was displaced postero-inferiorly, the distance between MP(mandibular plane) and H(hyoid bone) was increased and the posterior airway space values (PAS, Lpw, IAS) were decreased. The coordinates Me(x,y), H(x,y) and deviation angle Me’& H’were revealed the strong positive correlation. Conclusion : The results revealed that the horizontal, vertical and transverse relationship of the mandibular and the hyoid bone movements were significantly correlated in patients performed mandibular set-back surgery.
하악전돌증 및 개교합 환자에 있어 Obwegeser Ⅱ method의 안정성
정창욱(Chang-Wook Jung),남정훈(Jeong-Hun Nam),이상한(Sang-Han Lee),권대근(Tae-Geon Kwon) 대한구강악안면외과학회 2004 대한구강악안면외과학회지 Vol.30 No.1
The purpose of this study was to evaluate the postoperative stability of the severe open bite or mandibular prognathic patients after mandibular set back surgery by Obwegeser II method. There were 19 patients who had been undergone Obwegeser II method. The horizontal and vertical position of the cephalometric points were measured preoperation and immediate postoperation, postoperative 1 month, postoperative 6 months ; were analyzed by linear measurement to evaluate changes in skeletal landmark and the relapse was compared between open bite group and prognathism group. By the operation, horizontal change of B was 6.84±4.35mm and vertical change of B was 6.28±3.25mm in open bite group and horizontal change of B was 14.20±4.81mm and vertical change of B was 1.99±2.66mm in prognathism group, horizontal change of Pog was 3.82±5.71mm and vertical change of Pog was 5.38±2.11mm in open bite group and horizontal change of Pog was 13.24± 5.99mm and vertical change of Pog was 1.91±0.94mm in prognathism group. Between immediate postoperation and postoperative 1 month, all skeletal landmarks change was no statistical difference (p>0.05) and there were no statistical difference between open bite group and prognathism group except x-Me landmark (p>0.05). Between postoperative 1 month and 6 months, horizontal change of B was 0.12±1.35mm and vertical change of B was 1.47±1.48mm in open bite group and horizontal change of B was 1.43±1.35mm and vertical change of B was 0.82±1.99mm in prognathism group, horizontal change of Pog was 0.13±1.40mm and vertical change of Pog was 0.88±1.71mm in open bite group and horizontal change of Pog was 1.08±1.74mm and vertical change of Pog was 0.47±1.57mm in prognathism group (p>0.05) and there were no statistical difference between open bite group and prognathism group (p>0.05). Between immediate postoperation and postoperative 6months, horizontal change of B was 0.24±1.17mm and vertical change of B was 1.87±1.63mm in open bite group and horizontal change of B was 1.54±1.55mm and vertical change of B was 1.04±1.96mm in prognathism group, horizontal change of Pog was 0.91±1.46mm and vertical change of Pog was 1.18±2.05mm in open bite group and horizontal change of Pog was 0.96±1.62mm and vertical change of Pog was 1.23±2.35mm in prognathism group (p>0.05) and there were statistical difference between open bite group and prognathism group in x-B, x-Pog, x-Gn, x-Me (p<0.05). Obwegeser II method is considered as one of the best operation when surgical correction of severe open bite or severe mandibular prognathism is needed.
정격(正格)의 변형(變形)을 위주로 한 사암침법(舍巖鍼法)의 구성원리(構成原理)에 대한 고찰
조성우 ( Sung Woo Cho ),남정훈 ( Jung Hun Nam ),김봉현 ( Bong Hyun Kim ),이명종 ( Myeong Jong Lee ),이인선 ( In Seon Lee ) 한방재활의학과학회 2007 한방재활의학과학회지 Vol.17 No.4
Objectives :Saam acupuncture has evident principles of prescription based on tonifying and dispersing theory of Nan Jing chapter 69. But many prescriptions of Saam acupuncture have no typical patterns. This paper studies principles of precriptions of the normal form and their variation. Methods : We have created four hypotheses and explained these on historical, cultural background since The Yellow Emperor`s Classic of Internal Medicine period. We found some theory by investigating 125 normal form of Saam acupuncture. Results & Conclusions : 1. Saam acupuncture succeed not to acupuncture point theory but to meridian theory from The Yellow Emperor`s Classic of Internal Medicine period. 2. Five elemental point used for treating the five viscera and the six entrails not considering Wu Xing Bu Xie. 3. Wang Sheng Xiu Qiu Si 旺相休囚死 is used as based principles on the normal form. Wang Sheng Xiu is a family, Qiu Si is the enemy, Wang Sheng Xiu is in a promoting cycle of the five phases, Qiu Si is in a control cycle of the five phases. For tonify deficiency, we reinforce Wang Sheng Xiu and reduce Qiu Si. 4. In a promoting cycle, the five phases do a reinforcing method. In control cycle, the five phases must do a reducing method. Xiang Sheng Zhe Ke Bu, Xiang Ke Zhe Bi Xie 相生者可補 相克者必瀉 is Saam`s basic concept of prescription. 5. There is some variation of the normal form because Saam changed acupuncture point considering patient`s status and disease