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        악안면 영역의 동종골 이식 : 임상적 고찰

        김귀희(Kue Hee Kim),엄인웅(In Woong Um),이동근(Dong Keun Lee) 대한구강악안면외과학회 1993 대한구강악안면외과학회지 Vol.19 No.2

        Over the past 35 years, autogenous bone and cartilage has been the preferred grafting materials for reconstruction in facial area and has been superior to all other osseous grafting materials. However, donor site morbidity, limited quantities, increased operative time, postoperative pain and complications of autogenous bone graft seek out different graft materials for oral and maxillofacial surgeon. Allogeneic bone graftes, also known homologous grafts or allografts, are grafts form another individuals within the same species. Because the individuals are usually genetically dissmilar, the graft must be treated by various methods to reduce antigenicity. Among these methods for long preservation and storage, freeze-drying and demineralization seem to offer the most acceptable alteratives. As the need for preserved tissue allografts continue to increase, the requirement of banked allogeneic bone grafts will be increased. The purpose of this paper is to report clinical cases using banked allogeneic bone graft, prepared from Wonkwang Bone Bank, and to review the clinical sequelae of patients in order to discuss indications, contraindications, advantages, disadvantages, complications and perspectives for the future advances of Banking Procedures in Korea.

      • KCI등재

        동종골 이식 : 병리학적 고찰

        김귀희(Kue Hee Kim),엄인웅(In Woong Um),이동근(Dong Keun Lee) 대한구강악안면외과학회 1993 대한구강악안면외과학회지 Vol.19 No.3

        Bone is one of the most frequently transplanted tissues in the maxillofacial area used to repair bone defects and fill bone cavities. Fresh autologous bone is the most effective material for the most clinical situations. However the autografts are obtained at a cost to the patient and is also limited in size, shape, and the type of material that can be obtained. Allogeneic bone grafts have been employed as the most common substitute to autografts. But allografts may encounter immunologic complication and may eventually fail of immunologic rejection. So, numerous researches have devoted to finding the way of processing allogeneic bone grafts which is both immunogenicity inert and osteogenically active. The final assessment of the biologic properties of the processed bone grafts in the aspects of their osteogenicity and immunogenicity needs to depend principally upon the pathological examination of the transplanted bone grafts with well-controlled animal experiments. This paper will introduce some basic knowledge on the structure and formation of the bone, as well as the pathology of bone grafting which are concerned with the assessment and understand of the effect of processing, banking of bone grafts ans the possible result of their clinical uses performed in WonKwang Bone Bank and Research Institute.

      • KCI등재

        복합성 하악골 골절 환자에서의 십이지장 궤양으로 인한 범발성 복막염의 증례

        이동근(Dong Kuen Lee),엄인웅(In Woong Um),김귀희(Kue Hee Kim),민승기(Seung Ki Min) 대한구강악안면외과학회 1992 대한구강악안면외과학회지 Vol.18 No.1

        A 54 year-old man was transferred to our OMS department room (ER) with chief complaint of massive intra-oral bleeding due to mandibular open fracture. Emergency treatment and operation was performed within a day. He suffered from severe epigastric pain immediately after emergency operation. The diagnosis was made as acute Pan-peritonitis by General surgeon consult with clinical & radiographic examination. Emergency operation was performed in three days after first operation for Pan-peritonitis. Patient sign & symptom was improved and recovered uneventfully after surgery.

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