異物注入의 合倂症 및 臨床 統計學的 考察

高良實,方裕鉉,朴鍾燮,梁淳在 大韓成形外科學會 1982 Archives of Plastic Surgery Vol.9 No.2

For mary decades, Surgeons have searched for an easy, painless, and safe method to restore body contour. Innumerable materials have been used, with limitted success and a variety of complications. We relate the problems encountered in caring for 125 patients who had complications developing from the injections or implantations of various materials for enlargement of contour. We analyzed 125 patients who had been injected or implanted with foreign materials and has been treated at the Department of Plastic and Reconstructive Surgery, Soon Chun Hyang College Hospital, from Jan., 1978 to Dec., 1981. The obtained results were as follows ; 1. The sex ratio ; Male : Female = 1(19) : 5.5(106) 2. The most frequent age at the first O. P. D. visit ; 30-39 (49.6%) 3. The most frequent age at the time of injection ; 20-29 (56.8%) 4. The onset of complication after injection, mostly ; 1-10yr. (64.8%) 5. The most frequent injection site ; Nose (69 cases, 55.2%) 6. The common complications were ; a) Palpable mass. b) Pain or tenderness. c) swelling and induration. d) redness or cyanosis. e) displacement of foreign material. f) inflammation with / without ulceration.

하악각의 미용적 교정술

고양실,김유방,김수신,백세민 大韓成形外科學會 1986 Archives of Plastic Surgery Vol.13 No.1

A prominant angle of the mandible will cause a stout and mascularized appearance. The cheeks will also appear sunken. The face as a whole has a rhomboid shape. To correct this facial contour to oval shape, the prominant angle can be contoured. The cutaneous approach has been used, but it leaves a noticeble scar. The intra-oral approach for ostectomy of the mandible angle has on advantage in this aspect. To plan the angle contouring. photographes with planimetry and panorex view of the mandible were obtained. The prominant angle of the mandible was contoured through intraoral approach according to the pre-operative plan. The results were reviewed.

이차성 구순열 및 비부 변형과 그 교정

고양실,김봉겸,방유현,박종섭 大韓成形外科學會 1983 Archives of Plastic Surgery Vol.10 No.1

The correction of secondry cleft lips and nasal deformities often presents an extremely difficult plastic surgical problems. During the past century, the primary repair of cleft lips has received much considerations and there has been outstanding development in this field. However, the majority of these patients require correction later of secondary labial and nasal deformities of varing severity. Many factors are employed to secondary deformity, improper surgical method and skill, excessive trauma to the tissue and post-operative inflammation, other inadequate post-operative care or the hypertrophic scar, are included. With the patient's growing and development, underdevelopment of the maxilla is progressed and it accentuate the cleft lip and nasal defomities. Deformities commonly seen are irregular mucontaneous border, lateral poucking, notching of the lip border and flaring, flattening and asymmetry of the nostril with or without hypoplasia of the maxilla, and distortion due to hypertrophic scars and inert scar. Satisfactory function cannot be achieved and satisfaction cannot be achieved and satisfactory appearance cannot be formed and maintained without correct anatomical reconstruction of the involved parts. Disfigurement caused by all these secondary deformities tend to produce considerable embarrassement, profound psychic disturbances and socioeconomic problems. Thus, the correction of the secondary cleft lip and nasal deformities make the plastic surgeon endeaver to study. We experienced 53 cases of various secondry deformities with correction with varing method. Gennerally, cosmetic and functional improvement is obtainable in these cases satisfactorily. So, We introduces them with literature reports.

액취증의 수술치료에 대한 임상 고찰

고양실,윤영복,방유현,박종섭 大韓成形外科學會 1984 Archives of Plastic Surgery Vol.11 No.2

Osmidrosis is caused by excessive axillary apocrine serection with foul odor. It causes ruined clothing and extreme social embarassement. Many sorts of surgical technique did not give satisfactory results in reduction of axillary secretion or scar or limitation of motion of the shoulder and /or disruption of the wounds. To prevent unsatisfactory results. we use the 'flap to graft conversion' technique, using two incisions over the axillary folds and we got satisfactory results. We reviewed 27 patients who where treated with this technique postoperatively. 1. We controlled bleedings completely and did not use the drains. 2. To ever the incisional edges, the mattress suture was preferable to the simple suture, which probably reduce formation of the epithelial cyst. 3. Light dressing was replaceble with moderate abduction of the arms than bulky bolus dressing. 4. With satisfactorial reduction of the axillary foul odor, there were linear scars without contracture or hypertrophy.

이하선관 절단의 임상 치험례

고양실,박종섭,이진호,최석현 대한성형외과학회 1981 Archives of Plastic Surgery Vol.8 No.1

The anatomic location of Stenson's duct make it subject to injury in deep wound of the cheek. As failure to repair the duct result in a salivary fistula with its distressing symptoms, it is imperative to attempt to reapproximate the devided end at the time of initial debridement. It is our purpose, with a brief review of the previous literature, to report 2 cases of primary repair of the severed parotid duct and to show the success of the procedure by sialograms taken following operations.

異物注入의 合倂症 및 臨床 統計學的 考察

朴鍾燮,方裕鉉,高良實,梁淳在 순천향대학교 1983 논문집 Vol.6 No.4

For many decades, Surgeons have searched for an easy, painless, and safe method to restore body contour. Innumerable materials have been used, with limited success and a variety of complications. We relate the problems encountered in caring for 125 patients who had complications developing from the injections or implantations of various materials for enlargement of contour. We analyzed 125 patients who had been injected or implanted with foreign materials and has been treated at the Department of Plastic and Reconstructive Surgery, Soon Chun Hyang College Hospital, from Jan., 1987 to Dec., 1981. The obtained results were as follows; (1) The sex ratio; Male : Female=1 (19):5.5 (106) (2) The most frequent age at the first O.P.D. visit; 30~39 (49.6%) (3) The most frequent age at the time of injection; 20~29 (56.8%) (4) The onset of complications after injection, mostly; 1~10yr. (64.8%) (5) The most frequent injection site; Nose (69 cases, 55.2%) (6) The common complications were; ① palpable mass. ② pain or tenderness. ③ swelling and induration. ④ redness or cyanosis. ⑤ displacement of foreign material. ⑥ inflammation with/without ulceration.

안면골 골절에 대한 임상 및 통계학적 고찰

김봉겸,양순재,고양실,방유현,박종섭 大韓成形外科學會 1981 Archives of Plastic Surgery Vol.8 No.2

It is the purpose of this study to provide a retrospective statistical analysis of facial bone fractures and to report some demographical information gathered from the patient's medical records. The medical records of 248 patients who received facial bone fractures (381 fractures) during a period July 1974 to June 1981 were reviewed and analyzed to gather statistics related to the Dime distribution, age, sex, causes, incidence of fracture, associated injuries, treatment, and complications. 1) An increase of facial fractures of 22.2% per year was noted. Septmber and July (12.5%, 12.1%) were months associated with the highest fracture rates, conciding with the vacation and holiday seasons. February (2.8%) was the lowest rates. The greatest number of patients were sustained by 46.4% in the highest rates between 6:00 PM. and the midnight. 2) The extremes of age in the study range from 4 year to 66 years with a mean 31.6 years. Predictably, most of the fractures occured in young males with the highest incidence in the 20 to 30 year age group(35.5%, 23.0%). Males predominated more than females, 3.2:1. 3) The moving vehicle accidents (65.3%) were responsible for the majority of trauma; the interpersonal violence (16.2%) was the next most common cause. 4) The facial bone fractures were classified in six categories : Nose, Orbit, Zygoma, Maxilla, Mandible and Alveolus with Teeth. The mandible(31.2%) was the most frequently involved area and the next frequent fracture site was the nasal complex(24.1%). The symphysis (43.3%) was the most common site in the mandibular fractures. Also the results indicate a significant incidence of single (58.8%) rather than multiple bone involvement. 5) Facial lacerations were sustained by 52.8% in the highest rates associated with the associated injuries. The chest (33.1%) was the most frequently involved area among the patients received orthopedic fractures. Surprisingly, cervical spine fractures were not noted. The cerebral contussion and concussion (28.6%) were in the highest rates associated with the life- threatening injuries. 6) The proper management of facial bone fractures include : 1. Non-immobilization (No-treatment or Conservative treatment), 45.9%; 2. Closed reduction, with interosseous fixation, usually with intermaxillary fixation as well, 29.4% ; 4 Combinated treatment,0.3%. 7) The infection on the operative sites & post-traumatic psychosis associated with complications were occured in the highest rates(each other 16.9%).