상안검거근 전진술을 이용한 안검하수의 교정

방유현 최신의학사 1994 最新醫學 Vol.37 No.4

Oculoauriculovertebral Dysplasia의 치험 례

황오열,박홍구,민대홍,방유현 대한성형외과학회 1981 Archives of Plastic Surgery Vol.8 No.1

Oculoauriculovertebral dysplasia was first described by von Arlt in 1845, and the eponym dates from a description published by Goldenhar in 1952. Gorlin and associated suggested the more descriptive title of oculoauriculovertebral dysplasia, which delineates the three major components of the syndrome and the pathologic process. The three major manifestations of this syndrome are eye, ear and vertebral anomalies. Recently Tessier proposed a rather detailed classification in 1973. the cleft are numbered from 0 to 14 and extended along constant lines or axis through the eyebrows or eyelids, the maxilla, the nostril and the lips. According to Tessier classification, a frontozygomatic cleft(No. 8) is characteristic of oculoauriculovertebral dysplasia. We observed a patient of 20 year old male patient, who has an epibulbar dermoid, lipodermoid, preauricular appendage, ear deformities, vertebral anomalies and many other abnormalities. The multidiscriminatory treatment of the eye, ear and oral anomalies is discussed.

연골막과 연령이 가토에 이개연골 공여부 재새에 미치는 영향

백승우,박상현,김장호,방유현 大韓成形外科學會 1996 Archives of Plastic Surgery Vol.23 No.4

Cartilage graft has been used for the aesthetic and reconstructive surgery of nose, ear, and reginoal contour. Usual donor sites are costal, septal, or ear cartilages. Although there are many studies about the cartilage growth and the perichondrial effect in cartilage graft,few studies of the cartilage regrowth of donor site have been reproted. This experimental study includes the role of the perichondrium and the age in cartilage regrowth of donor site. Rabbits were devided in two groups, 10 young ravvits(3-4weeks) and 10 adult rabbits (10months). From each rabbit, the cartilage with perichondrium was removed from one ear, and the denuded cartilage was removed from the opposite ear. The regrowth of cartilage tissue at each cartilage harvest site was examined after 2 months. The results are as follows: 1. In young rabbits, the cartilages grew an average of 1.84mm(23.1%). In the perichondrial-remanined donor sites, an average of 2.04mm(25.6%) and an average of 1.63mm(20.6%) in the perichondrial-stripped donor sites. 2. In adult rabbits, the cartilages grew an average of 0.29mm(3.7%). In the perichondrial-remained donor sites, average of 0.36mm(4.5%) and an average of 0.22mm(2.8%) in the perichondrial-stripped donor sites. 3. In histologic studies, the active proliferating cells increased more in young rabbits than in adult rabbits, and increased more in the perichondrial-remained donor sites than in the perichondrial-stripped ones. In young rabbits, the cartilages regrew more in the perichondrial-remained donor sites than perichondrial-stripped ones in young rabbits, but in adults, the cartilages grew little compared to young rabbits without the relation to presence of perichondrium. Therefore, the results of this study suggest that the age is more important factor on the cartilage regrowth of the donor sites and the perichondrium has effect on the cartilage regrowth of only young rabbits.

수지부역혈행성 피판술에 관한 연구

조진환,방유현 大韓成形外科學會 1998 Archives of Plastic Surgery Vol.25 No.1

Fingertip injuries represent the most common type of injuries were seen in the upper extrimity. Reconstruction of a injured digit needs good aesthetic result as well as functional recovery. From August 1994 to August 1996, sixty two digits in the fifty four patients were treated by using the reverse digital island flaps. The age of the patients ranged from 13 to 64 years. We reviewed the medical records of our cases and analyzed them in several aspects. Majority of the cases(79%) were covered primarily. Neurorrhaphy was performed in 26 digits(42%). The survival of these flaps was successful in all cases except one case. The mean values of the static two point discrimination in sensate and nonsensate flaps were 6.5 mm and 10.3 mm retrospectively. In this study, venous congestion was the most common early complication(9.6%). Arterial insufficiency and flap loss(6.4%) were the troublesome early complications. Bulky mushroom shaped flap(24.6%), scar contracture(6.4%), paronychia(8.2%), cold intolerance(9.6%), hyperesthesia(3.2%) and flap atrophy(4.8%) were the late complications. In conclusion, despites of its complications, reverse digital island flap provide durable skin cover, superior aesthetic result and excellent sensory restoration.

상완부 피판을 이용한 안면부 재건 예

강연욱,윤영복,박종섭,방유현 大韓成形外科學會 1985 Archives of Plastic Surgery Vol.12 No.3

The pathologic lesions of the facial skin as posttraumatic scar, postburn scar and tumors have affected not only the external appearance but also the social activity of each individuals. The reconstructive mehtods of the facial skin defect are divided roughly into skin graft and skin flap, which have been studied and developed recently. We review the clinical experience of 7 cases of the facial reconstruction with brachial skin flap. The brachial skin flap technique presents three advantages. 1) This technique is the safe technique independent of the location and size of the facial skin lesion. 2) The match of the skin texture and contour is good with adjacent facial skin because the brachial skin flap is thin and soft. 3) There is no functional disturbance of the doner site, which is the well hidden area in clothes.

광배근 및 전거근 이중피판을 이용한 상,하지의 재건

조진환,서영태,방유현 大韓成形外科學會 1999 Archives of Plastic Surgery Vol.26 No.5

The dual muscle flap(Latissimus dorsi+ Serratus anterior muscle) based on the thoraco-dorsal vascular system for limb reconstruction has been infrequently reported. We have used this flap as a free flap for limb reconstruction in four patients(3 cases in lower linb, 1 in upper limb). A Latissmusi dorsi muscle or musculocutaneous flap and Serratus anterior muscle flap were used and all cases healed satisfactorily. The indications for this flap are to resurface two separate defects simultaneously or to resurface very large defects. It has the advantage of requiring anastomosis of one vascular pedicle only. This flap is particularly suitable for resurfacing defects wider than their length, in relation to the long axis of the limb.

제1족지 수질부 유리피판을 이용한 수지재건

조진환,방유현 大韓成形外科學會 1999 Archives of Plastic Surgery Vol.26 No.4

The authors report our experience of digital pulp reconstruction by free great toe pulp transfer. Twelve patients were treated with lateral great toe hemipulp. Twelve cases of digital pulp defect were reviewed, including 2 thumbs and 10 indices. There were 11 primary cases and 1 case of secondary reconstruction. We noted no necrosis and 5 patients suffered from cold intolerance. The flap sensibility, according to ASSH criteria, was excellent in 1 case, good in 10 cases, fair in 1 case and poor in no cases. The range of the stationary two-point discrimination test was between 4 and 15㎜ (mean S2-PD value; 7.2㎜). The subjective evaluation found in 11 patients was satisfactory and dissatisfactory in 1. Performing this procedure during the acute phase may improve the management of trauma by reducing the time needed for cicatrisation and the length of disability. Furthermore, the principal advantages of this procedure are minimal donor site morbidity, as well as excellent functional and cosmetic gain.

제48차 추계학술대회 : 일반연제 ; 피부병리 : 취한증의 병리소견

방유현,전혜원 대한피부과학회 1996 초록집 Vol.34 No.20

Inaba 방법에 의한 액취증의 치료효과

방유현 최신의학사 1994 最新醫學 Vol.37 No.4

초록집 : 취한증의 병리소견

방유현,전혜원 대한피부과학회 1996 초록집 Vol.- No.-