자연스러운 곡선의 하악각 교정을 위한 연속 구멍 연결 골절제술

이준우,박종림,박철규,김용규 대한미용성형외과학회 2010 Archives of Aesthetic Plastic Surgery Vol.16 No.3

As Westernization has taken place in the Oriental society, people’s concern focuses on the correction of their lower jaw shape. Various methods were recommended to make their mandibular angle slender and beautiful, but it was difficult to achieve natural curves as planned preoperatively. This study was conducted on 6 patients who received burring hole connecting osteotomy for mandibular angle correction from 2005 to 2007. A measurement of the most natural curved line for osteotomy was made by X-ray prior to the surgery. Through intraoral approach, three to five holes were made on the estimated angle line by burring, and the consecutive holes were connected by oscillating saw to perform the one piece osteotomy. There were no unnatural, irregular osteotomy sections or asymmetrical problems in comparison of before and after operation. All of the patients had satisfactory natural mandibular angle lines. Despite difficulties with the conventional techniques, it is possible for patients to achieve natural mandibular angle lines as they wish with the burring hole connecting osteotomy technique. In addition, it was possible to secure outstanding predictability and stability, thus resulting in satisfactory outcomes in the profile.

C57BL/6 마우스의 등에 시행한 자가 전층피부이식편을 이용한 색소침착 동물모델

이홍기,박종림,허은주,김석화 대한성형외과학회 2011 Archives of Plastic Surgery Vol.38 No.6

Purpose: Skin grafting is one of the most commonly used methods in reconstructive plastic surgery field, but complications such as color change, contracture or hypertrophy are common problems. However, pathophysiology of the color change after skin graft is not yet determined and no animal model is established. Methods: Full thickness skin grafts were performed on the dorsum of C57BL/6 mice. Serial chronological gross inspection for color change and pigmentation were examined. Melanin pigments were traced by Fontana-Masson staining and semi-quantitative analysis was performed. In addition, immunohistochemical staining of S-100, Micropthalmia related Transcription Factor (MITF) and Melan-A antibodies were also performed to observe melanocytes and their changes. Results: After skin graft, color change and pigment spots were observed in the graft. Fontana-Masson staining showed melanin pigments in the epidermal and dermal layers in all mice. Immunohistochemistry staining to S-100,MITF, Melan-A antibodies showed melanocytes at the basal layer of epidermis and dermis. Conclusion: In conclusion, we have established an animal model for skin pigmentation after skin graft. We believe this study may be useful in understanding of the behavior of melanocytes after skin graft.

인체 피하지방과 내장지방에서 유래한 줄기세포의 지방분화 및 골분화 능력 차이

강민구,박종림,이진희,장학,민경원,박규주 대한성형외과학회 2007 Archives of Plastic Surgery Vol.34 No.5

Purpose: Adipose tissue contains a population of pluripotent stem cells capable of differentiating along multiple mesenchymal cell lineages. It is well known that fat depots from different part of our body shows different nature not only in morphological aspect but also physiologic aspect. The authors compared the adipogenic potentials and osteogenic potentials of adipose stem cells from different anatomical sites of human. Methods: After laparotomy by surgery team, the authors isolated these adipose stem cells successfully from 7 men with an average age of 58, and induced differentiation along adipogenic and osteogenic lineages in vitro. On the 14th day, cells cultured in adipogenic media differentiated into adipocytes in vitro, as evidenced by positive Oil Red O staining of lipid vacuoles. On the 21st day, cells cultured in osteogenic media differentiated into osteoblasts in vitro as demonstrated by Alizarin red staining of a calcified extracellular matrix. Results: After exposure to adipogenic and osteogenic differentiation medium, subcutaneous adipose stem cells were found to possess greater adipogenic and osteogenic potentials than cells isolated from visceral adipose tissues. Conclusion: This study indicates that adipogenic and osteogenic potentials of adipose stem cells vary by their anatomical sites, with subcutaneous adipose stem cells exhibiting higher adipogenic and osteogenic potential than those isolated from visceral fat.

반안면 왜소증 환자에서 단-시상 절골술법을 이용한 하악골 연장술

이윤호,박종림 大韓成形外科學會 2001 Archives of Plastic Surgery Vol.28 No.5

구순구개열의 비구순변형에서 3차원 입체 laser 스캐너를 이용한 계측분석 프로그램의 개발

김석화,박종림,김재찬,백승학,손우길 대한성형외과학회 2008 Archives of Plastic Surgery Vol.35 No.3

Purpose: The purpose of this study is to develop three-dimensional computerized anthropometry(3DCA) and to compare its reliability and accuracy 3DCA with manual anthropometry(MA) for measurement of lips and nasal deformities in unilateral cleft lips and palate(UCLP) patients.Methods: Samples were consisted of six UCLP patients whose facial plaster models were available immediately before and 3 months after the cleft lip surgery. MA of the facial plaster models was carried out using an electronic caliper. In 3DCA, three-dimensional auto- measuring program was used to digitize landmarks and to measure three-dimensional virtual facial models (3DVFM), which was generated with a laser scanner and 3D virtual modeling program. Intraclass correlation coefficients(ICC) were calculated to evaluate reliability and reproducibility of the variables in both methods, and Wilcoxon’s signed rank test was done to investigate the difference in values of the same variables of facial models of each patient between two methods.Results: All ICC values were higher than 0.8, so both methods could be considered reliable. Although most variables showed statistical differences between two methods(p<0.05), differences between mean values were very small and could be considered not significant in clinical situation.Conclusion: In clinical situation, 3DCA can be an objective, reliable and accurate tool for evaluation of lips and nasal deformities in the cleft patients.

소아 환자에서 조직확장기 사용의 유용성

이준우,박철규,박종림,김용규,Lee, Jun-Woo,Park, Chul-Gyoo,Park, Jong-Lim,Kim, Yong-Kyu 대한성형외과학회 2010 Archives of Plastic Surgery Vol.37 No.6

Purpose: Reconstruction of soft tissue defect using tissue expander can provide better flap which is more similar to surrounding tissue in color, skin texture and hair compared to other methods. Many pediatric patients need reconstruction of soft tissue defect because of giant congenital nevi, congenital or acquired malformations and burn scars. Reconstruction using tissue expander is adequate to minimize dysmorphism in these patients. We intended to assess outcomes of using tissue expander in pediatric patients by retrospective study. Methods: Total cases were 168 of pediatric patients who received soft tissue reconstruction using tissue expander by the same surgeon from February, 1982 to May, 2009. All patients who received soft tissue reconstruction were under 10 years old. Mean age was 4.3 years old, the youngest 13 months, the oldest 8 years. Eightynine cases were male and 79 cases were female. Most common cause was giant hairy nevi (67 cases, 39.9%), secondary cause was burn scar/scar contracture (61 cases, 36.3%). Trunk (38 cases, 22.6%) was most common anatomical location. Results: Soft tissue defects were successfully covered using tissue expander in 149 cases (88.7%) without major complications. There was infection on 8 cases (4.7%) and we treated by adequate antibiotics in these cases. There were tissue expander folding or valve displacement on 5 cases (3%). Conclusion: Usage of tissue expander is useful on pediatric patients because tissue expansion is rapid on children and there are less secondary contractures on operation site than full thickness skin graft. Because of psychological stress due to tissue expander, operation should be performed before school age.

두피에 발생한 혈관육종의 수술시 Mapping Biopsy의 유용성

강민구(Min Gu Kang),박종림(Jong Lim Park),김명국(Myung Good Kim),장 학(Hak Chang),민경원(Kyung Won Minn),고경석(Kyung Suck Koh) 대한두경부종양학회 2007 대한두경부 종양학회지 Vol.23 No.1

Objectives :Cutaneous angiosarcoma is an infrequent but aggressive neoplasm involving the skin of the face and scalp. Unfamiliarity with the clinical manifestations of cutaneous angiosarcoma frequently leads to misdiagnosis and delay in treatment. Complete surgical resection requires the performance of preoperative staging biopsies to determine the true extent of the neoplasm. Intraoperative frozen section analysis to determine the adequacy of the surgical resection is unreliable due to the high false negative rate. Material and Methods :In five scalp angiosarcoma cases, mapping biopsies were performed at far from the suspected edge of the neoplasm. On permanent pathology, we obtained tumor free margin with occasional focal involvement of the tumor. Results :Frozen-section analysis of the resected margins is inconclusive, for the subtle diagnostic features of angiosarcoma are distorted by the tissue processing required for frozen-section analysis. The characteristic dermal vessels lined by their malignant cells are collapsed by the freezing process. This results in a high rate of false-negative reports and possibly leads to incomplete resection of the neoplasm. Conclusion :Our recommendation is to establish the margins of the tumor by performing preoperative eval-uations by mapping biopsies.

금융소비자보호원에 대한 소고

최준선(June-Sun Choi),박종림(Jong-Rim Park) 성균관대학교 법학연구소 2012 성균관법학 Vol.24 No.3

While experiencing worldwide financial crisis, each country of the world strengthens the financial system’s reformation and financial consumer protection. In case of America, Consumer Financial Protection Bureau was newly established as a financial supervision system who legalizes Dodd-Frank Wall Reform and Consumer Protection Act 2010 and is in charge of financial consumer protection. England also abolished existing Financial Services Agency, reorganized financial supervision system in the direction that financial supervision function is concentrated to the bank of England and promised to establish Consumer Protection and Markets Authority as an organization of consumer protection and market. In addition to the tendency, our country established the independent organization of financial consumer protection so as to strengthen financial consumer protection. And, in 2011, legislation of several members of Congress was combined and government suggested revision of 「law related to the establishment of financial committee, etc.」. For the main contents of government submission, financial consumer protection bureau was established under the Financial Supervisory Service and it will conduct the duties such as conciliation of conflicts related to finance, treatment of civil complaints related to financial consumer protection, education of financial consumer, investigation and study for improving rights of financial consumer, working support of related institutions such as financial committee, etc. However, the agenda of government shows insufficiencies in the part of independence so that financial consumer protection bureau is recognized simply as the sub-institution of the Financial Supervisory Service. For the appointment of not only executives but also employees, the discussion with the Financial Supervisory Service is necessary. Although financial institution who committed illegal act for financial consumer is exposed, it cannot be controlled for themselves and only right to request control to the Financial Supervisory Service is given. Thus, if financial consumer protection bureau belongs to the Financial Supervisory Service, there is no great difference from the current system of financial supervision. And, it’s a question if it can contribute to the protection of financial consumer actually. As promoted originally, if intending to strengthen the protection of financial consumer, independence of financial consumer protection bureau which will be established must be guaranteed and rights to conduct duties must be given actually. Legislative bills should be continuously supplemented so that financial consumer protection bureau can show the function of financial consumer protection according to the original intention.

부인암에서 전인병소절제술 (Metastasectomy) 6예의 보고

문을주 ( Mun Eul Ju ),박연진 ( Park Yeon Jin ),정희환 ( Jeong Hui Hwan ),노주원 ( No Ju Won ),심정석 ( Sim Jeong Seog ),박상재 ( Park Sang Jae ),박종림 ( Park Jong Lim ),이종목 ( Lee Jong Mog ),조재일 ( Jo Jae Il ),조대순 ( Jo Dae 대한산부인과학회 2003 Obstetrics & Gynecology Science Vol.46 No.5

To report cases of metastasectomy for metastatic gynecologic malignancies, we reviewed the medical records of all patients who have undergone metastasectomy for metastatic gynecologic malignancies in Center for Uterine Cancer from June 2001 to October 2002. Six patients were identified with median age of 55 years (range 52-66 years). The metastatic sites and primary sites were as follows : 3 liver metastasis from ovary ; 1 abdominal wall metastasis from uterus (endometrial cancer), 1 brain metastasis from ovary, 1 lung metastasis from uterus (sarcoma). The median disease free interval was 48 months (range 10 months-13 years). There was no perioperative mortality. Postoperative morbidity was tolerable with 1 case of bile leakage. In three patients with hepatectomy, one patient was dead of disease after 15 months, one patient is alive with disease at 20 months of follow up, one patient have no evidence of recurrence at 7 months follow up. The patient with brai metastasis was dead due to lung metastsis after 9 months later postoperatively. Remaining two patients with abdominal wall and lung metastasis have no evidence of tumor recurrence at 4, 7 months follow up respectively. Metastasectomy for metastatic gynecologic malignancies can be performed safely and may help prologn survival in carefully selected patients.