치계성 각화성 낭종의 병리, 조직학적 연구

김판식 ( Pan Sik Kim ) 국군의무사령부 1984 대한군진의학학술지 Vol.15 No.1

抗癌劑가 拔齒創治癒에 미치는 影響에 關한 實驗的 硏究

金判植 ( Pan Sik Kim ) 국군의무사령부 1980 대한군진의학학술지 Vol.11 No.1

안면부 총상으로 인한 하악골 정중부 결손환자의 장골이식 치험례

김명진(Myung Jin Kim),김민형(Min Hyung Kim),정인원(Jn Won Jung),김판식(Pan Sik Kim),진우정(Woo Jung Jin) 대한구강악안면외과학회 1982 대한구강악안면외과학회지 Vol.8 No.1

Early planning of overall treatment is important for patients with avulsion defects of mandible as a result of fireann injuries. Bone grafting procedure may be necessary for restoration of mandibular continuity, contour, and function. Autogenous bone has been considered the best bone grafting material, but one should, first of all, consider the general principles and mechanisms of bone grafting. The authors have experienced the complicated case of free iliac bone graft for the mandibular symphysis discontinuity defect, which caused by gun shot wound. Many problems have occured during intermediate and reconstructive phases such as mandibular medial contraction, postoperative infection, graft bone resorption, and improper restoration of masticatory function, etc.. The results are as follows: 1. Successful bone grafting of the mandibular symphysis area is the most difficult to accomplish, due to adverse influences such as aversion and rotation forces, soft tissue tension, and diminished vascularity of the graft region, etc.. 2. Treatment must be predicted on through examination, early organized planning, and continuing evaluation of patients status through the various stages of treatment. 3. In cases of mandibular symphysis defect, it is important to maintain the remaining proximal fragments in their proper position and alignment to prevent mandibular medial migration. 4. The bone graft should performed under asepsis and should do adequate antibiotics coverage. 5. The osteogenic capacity of the periosteum in bone graft procedure is considered very important. 6. The solid free iliac bone should be decorticated and that is brought in close contact with a highly vascular connective tissue and must remain in intimate contact with this soft tissue for adequate blood supply.

齒系囊腫으로 誤診된 琺瑯芽細胞腫의 治驗例

SAG CHULL LEE(李相喆),PAN SIK KIM(金判植),SEON YUL YOO(柳善烈),IN CHOI(崔仁) 대한구강악안면외과학회 1979 대한구강악안면외과학회지 Vol.5 No.1

Ameloblastoma is one of the typical odontogenic tumor which was occasionally confused to dentigerous cyst. In this case, roentgenogram revealed a large monolocular radiolucent lesion from the left lower first molar region to the notch of ram us with White outline and contained tooth crown. The left lower second molar was extracted and pus discharged from the socket, we diagnosed as DENTIGEROUS CYST WITH SECONDARY INFECTION. Under the general anesthesia, the cystic sac was thoroughly removed and routinely, irrigation and vaseline gauze packing were done. As a result, post operative biopsy showed as AMELOBLASTOMA. After 6 months operation, authors can observe the homogenously new bone formation and there are no recurrency until now.

壓接이 骨癒合過程에 미치는 影響에 關한 硏究

Sang Chull Lee(李相喆),Pan Sik Kim(金判植) 대한구강악안면외과학회 1987 대한구강악안면외과학회지 Vol.13 No.2

The purpose of this study was to investigate the effect of compression on the bony healing process. Ten Korean dogs weighting about 8-12 ㎏ were selected in order to carry out this experiment. Under the general anesthesia with Ketalar??, the both side of mandibular angle region were transected from the retromolar triangle superiorly to the antegonial notch inferiorly, care being taken not to compound the fracture into the oral cavity and not to damage the inferior alveolar nerve and vessels. In the right side of osteotomy site were fixed with autocompression plate and screws and in the left side, fixation was performed with stainless steel wire in 0.56 ㎜ diameter. Experimental dogs were sacrificed at 1, 2, 4, 6, and 8 weeks after the surgery and the soft tissue were dissected from the mandible. Thc operation sites were examined under the light microscope to observe the bony repair process histopathologically. To investigate the stress distribution patterns, similar fixation methods were performed on the photoelastic epoxy resin and photoelastic stress analysis was done with the polariscope. The results obtained from this study were as follows; 1. In the wire fixed group, the active bone formation was proceeded from the endosteum and periosteum and large quantity of callus was formed. 2. In the compression plate-fixed group, a large quantity of lamellated bone was matured and than resulted in bony union. Small amount of the callus was also observed. 3. The bony union process of the compression plate fixed group was occurred more rapid than those of the wire fixed group at the early stage, but similar repair processes were observed on both groups at the 6th and 8th weeks after the surgery. 4. In the photoelastic stress analysis, note the tremendous number of pressure lines in the compression plate fixed model than the wire fixed model. And it could be observed that the continuous pressure was applied to the transected area. 5. When the vertical load was applied on the split model, the compression plate fixed model showed the stability without any change of the compression stress or any widening of lower part of model.

치아상실을 수반한 하악전돌증의 외과적 치험예

유재하(Jae Ha Yoo),김판식(Pan Sik Kim),정인원(In Won Jung) 대한구강악안면외과학회 1985 대한구강악안면외과학회지 Vol.11 No.1

This is a case report of mandibular prognathism with multiple missing teeth which showed more difflculties of mastication due to severe malocclusion and facial disfigurements,but well treated with the intraoral sagittal split osteotomy in the rami. The postoperative conditions about esthetics as well as occlusal pattern and masticatory efficiency were improved owing to model analysis and occlusal adjustment on an atomic articulator,cephalometric analysis of hard and soft tissue and relapse control by activator and chin cap. The results are as follows; 1. It is very required for the mandibular prognathism with missing teeth that careful diagnosis and treatment planning should be made using an anatomic articulator, and that preoperative condylar guidance and incisal guidance must be recorded for the purpose of postoperative full mouth rehabilitation. 2. The intermaxillary rubber elastic traction as well as Activator and chin cap application were more effective manners for the correction of occlusal relapse that occurred after the removal of intermaxillary fixation devices. 3. The further cooperative studies of the department of oral and maxillofacial surgery, orthodontics, prosthetics and periodontology were much necessary to improve the masticatory function and esthetics in spite of inevitable occlusal and esthetic relapse after orthognathic surgery of mandibular prognathism.

총설 : 골형성 기전에 관한 고찰

이상철(Sang Chull Lee),김학원(Hak Won Kim),박승욱(Sung Wook Park),김판식(Pan Sik Kim),유선열(Seon Youl Yoo) 대한악안면성형재건외과학회 1978 Maxillofacial Plastic Reconstructive Surgery Vol.1 No.1

골은 결체조직중 가장 고도로 분화된 조직으로서 대부분의 척추동물에 있어서 신체의 골격 및 기본구조를 이루고있고 , 치아와 더불어 인체중 가장 단단한 조직으로 되어 있으며 세포간질내에 있는 상호 연결된 세포들로 구성되어 있다. 골조직의 경도는 연성유기질내에 칼슘, 인, 탄산염 및 구연산염 등으로 구성된 복합무기질이 심착됨으로써 초래된다. 골의 세포간물질은 결체조직과 직위성 구조를 갖고 있고 직위성분들은 주로 교원직위로 되어 있으며 일부 망장직위들도 나타난다. 골은 또한 다른 특수한 형태의 결체조직인 연골과도 밀접한 연관성을 갖고 있는데 대부분의 태아골격은 초자양연골로 되어있다가 골로 대치되기 직전에 화학적특성에 변화를 일으켜 증식되며, 소아와 청년에서는 연골이 장골발육단의 성장부로서 작용한다. 골절후에 나타나는 치료과정중에도 첫번째 시도로서 연골과 직위성연골 즉, 가골이 나타난다. 골형성기전은 임상에서 골조직의 소상, 결손 및 파괴가 야기되는 경과를 자주 접하게 되므로 중요하게 취급되고 있으며, 골절 및 이식골의 치료과정 등을 연구함에 있어서도 중요한 연구과제로 결두되고 있다. 여기에 대해서는 선학들의 많은 연구가 있었으며 현재도 계속되고 있다. 이에 작자 등은 골형성기전에 과한 이해를 돕기 위하여 선학들의 연구업계를 분석 및 고찰해 보고자 한다.골은 결체조직중 가장 고도로 분화된 조직으로서 대부분의 척추동물에 있어서 신체의 골격 및 기본구조를 이루고있고 , 치아와 더불어 인체중 가장 단단한 조직으로 되어 있으며 세포간질내에 있는 상호 연결된 세포들로 구성되어 있다. 골조직의 경도는 연성유기질내에 칼슘, 린, 탄산염 및 구□산염 등으로 구성된 복합무기질이 심착됨으로써 초래된다. 골의 세포간물질은 결체조직과 직위성 구조를 갖고 있고 직위성분들은 주로 교원직위로 되어 있으며 일부 망장직위들도 나타난다. 골은 또한 다른 특수한 형태의 결체조직인 연골과도 밀접한 연관성을 갖고 있는데 대부분의 태아골격은 초자양연골로 되어있다가 골로 대치되기 직전에 화학적특성에 변화를 일으켜 증식되며, 소아와 청년에서는 연골이 장골발육단의 성장부로서 작용한다. 골절후에 나타나는 치료과정중에도 첫번째 시도로서 연골과 직위성연골 즉, 가골이 나타난다. 골형성기전은 임상에서 골조직의 소상, 결손 및 파괴가 야기되는 경과를 자주 접하게 되므로 중요하게 취급되고 있으며, 골절 및 이식골의 치료과정 등을 연구함에 있어서도 중요한 연구과제로 결두되고 있다. 여기에 대해서는 선학들의 많은 연구가 있었으며 현재도 계속되고 있다. 이에 작자 등은 골형성기전에 과한 이해를 돕기 위하여 선학들의 연구업계를 분석 및 고찰해 보고자 한다.

唾石症에 依한 顎下腺 慢性 唾液腺炎의 治驗 二例

Sang Chull Lee(李相喆),Sung Wook Park(朴承郁),Pan Sik Kim(金判植) 대한구강악안면외과학회 1976 대한구강악안면외과학회지 Vol.2 No.1

Frey 증후군 ( Auriculotemporal syndrome )

서원필(eon Pheel Seo),장인성(In Seong Jang),현종명(Jong Myung Hyun),김두한(Doo Han Kim),김홍직(Hong Jig Kim),김판식(Pan Sik Kim) 대한피부과학회 1984 대한피부과학회지 Vol.22 No.1

Frey syndrome is characterized by sweating and flushing on the auriculotemporal region in respense to gustatory stimuli following surgery, trauma or irfection of the parotid areas. A 22-year-old man had received a surgery for sclerosis and hypertrophy of the left mandible. Two months after operation gustatory sweating occurred, whenever he eats, on the malar area without any detectable flushing or sensory impairment. Sweating starts in 30 seconds during food intake and is clearly visible with naked eyes within 2 minutes. This syndrome is encountered uncommonly to the dermatologic practitioners but more cases might be discovered if more attention could be given to this condition.

악관절 내장의 양측성

이성일,이동수,정인원,최형식,김판식,장덕수,권칠성 大韓顎顔面成形外科學會 1989 Maxillofacial Plastic Reconstructive Surgery Vol.11 No.1

Arthrography is one of highly accurate diagnostic tools for internal derangements of the temporomandibular joint (TMJ). Both TM joints are connected by the mandible and one may have influence upon the other. We performed bilateral TMJ arthrograms in 42 patients with TMJ disorders to evaluate the bilaterality of internal derangements of the TMJ. The results were as follows : 1. We could not find any specificity in clinical symptoms according to each state of internal derangements of the TMJ. 2. The bilaterality of internal derangements of the TMJ was 61 %. 3. Statistically, significant correlation was found in the aspects of the presence of arthrographic abnormality in both TMJ and each state of internal derangements in them. Therefore, the patients, who are diagnosed as any internal derangement of the TMJ, need to have assured examination in the contralateral joint.