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Churg-Strauss 증후군의 캡슐 내시경 소견 1예
맹재하 ( Jae Ha Maeng ),한혜원 ( Hae Won Han ),송승균 ( Seung Kyun Song ),전진호 ( Jin Ho Jeon ),김우신 ( Woo Sin Kim ),박석준 ( Suk Joon Park ),최명규 ( Myung Kyu Choi ) 대한내과학회 2006 대한내과학회지 Vol.70 No.6
저자들은 기관지 천식, 부비동염, 말초혈액에서 호산 구증가증을 보인 환자에서 미국 류마티스 협회(American college of rheumatology, 1990) 진단 기준으로 Churg-Struass 증후군으로 진단하였다. 내시경 검사를 시행하여 소화관을 침범한 Churg-Struass 증후군을 확인 하였다. 위 및 소장을 침범한 Churg-Struass 증후군을 캡슐내시경으로 관찰하여 본 증례를 문헌고찰과 함께 보고하는 바이다. Churg-Strauss syndrome is a disorder of hypereosinophilia and systemic vasculitis in subjects with asthma and allergic rhinitis. Clinically, this syndrome can be involved with various manifestations of disease of lung, heart, skin, musculoskeletal system
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관골에 발생한 양성연골아종 (chondroblastoma)의 임상치험례
김한중,윤진호,이동진,김우신 大韓成形外科學會 1996 Archives of Plastic Surgery Vol.23 No.4
Chondroblastoma represents approximately 1% of all the primary bone tumors. Most of these tumors arise in the epiphysis of long bones. Chondroblastoma of the cranial bone and facial bone is extremely rare. Furthermore, chondroblastoma involving the zygoma of the facial bone has not been reported in the literatures. Treatment of the chondroblastoma in the skull and facial bone has been the same as treatment usually used in the long bones includes simple curettate and radiation therapy. But chondroblastoma of the skull and facial bone is a benign but locally aggressive tumor. On the basis of our case and review of the literature, we recommend complete radical surgical excision as the primary treatment for chondroblastoma of the zygomatic bone. We report the cast of 21-year-old man with benign chondroblastoma in the zygomatic bone. The clinical features, radiologic and histologic appearances, and treatments are also discussed.
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Three-Dimensional Z-Plasty(Yoon's Method)를 이용한 내안각 췌피 성형술
박흥식,김우신,윤진호,나민화,김한중 대한미용성형외과학회 1997 Archives of Aesthetic Plastic Surgery Vol.3 No.1
The presence of epicanthal folds in Asian eyelids is one of their unique features, in combination with the lack of supratarsal folds. Western culture has influenced many people to prefer to eliminate the prominent epicanthal fold. A number of surgical techniques have been suggested for their correction. However, difficulty with design, excessive and prominent scarring of medial canthal and nasal area, recurrence, and rigidity of application are potential problems associated with many procedures. This paper describes a epicanthoplasty with three-dimensional Z-plasty. Through epicanthal fold incision, the medial canthal tendon is medially advanced and sutured to the periosteum of nasal bone. After the transposition of the flaps, trimming of the flap is usually required. Three-dimensional Z-plasty creates the attractive eyes. From March, 1995 to March, 1997, the technique was applied to 37 patients with epicanthal fold and was performed with or without double-fold operation. There were 34 females and 3 males with ages ranging from 17 to 30 years. Through 2 years follow-up, this technique has delivered esthetically good results with minimal postoperative scar and could made the reduction of ICD from 40 ± 2.13 mm to 34 ± 1.98 mm. The advantages of epicanthoplasty procedure using three-dimensional Z-plasty(Yoon's method) are as follows; 1) simple in design 2)minimal postoperative scar in the medial canthal area 3) versatile in its application 4) no recurrence 5) no hypertrophic scar 6) preserving ethnic identity.
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김한중,김우신,이동진,윤진호 大韓成形外科學會 1996 Archives of Plastic Surgery Vol.23 No.6
From July 1988 to July 1995, 12 Patients underwent surgery for recurred blepharoptosis with frontalis muscle transfer. Their previous operations of blepharoptosis were frontalis muscle suspension in 9 cases, creation of supratarsal folds in 1 case, levator resection in 1 case, and frontalis muscle transfer in 1case. 6 patients were female and 6 were male. 4 patients had bilateral and 8 patients had unilateral blepharoptosis. Patients follow-up period ranged from 6 months to 24 months. The average operation interval between first operation to re-operation was 13.5 months. The results were as follows. : 1. 11 patients (91.6%) had gained the levator excursion of over 7mm and reduced the hight difference of both palpebral fissures less than 2mm after the reoperation (frontalis muscle transfer). The overall results were more than satisfactory. 2. We used a single incision instead of double resulting in one less visible scar. Complications such as hematoma and forehead hypoesthesia were also reduced by using short U-shaped frontalis muscle flap. 3. The asymmetric double folds, eyelid notching, lagophthalmus and abnormal eyebrow position occurring after the frontalis muscle suspension can be corrected by the frontalis muscle transfer. From these results the frontalis muscle transfer is judged to be a good secondary operation for patients with complicated and recurred biephaloptosis.
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