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정상교합을 가진 유치열기 아동의 두부방사선 계측학적 연구
서문선,손흥규,백형선,최형준 大韓小兒齒科學會 2005 大韓小兒齒科學會誌 Vol.32 No.1
소아치과 영역에서 아동의 두부방사선 계측치의 비교분석은 성장과 발육의 평가에 중요하며 부정교합의 조기진단과 치료를 위한 두개 안면부의 형태, 성장 양상을 아는 것에 필수적이다. 이를 위하여 두부방사선 계측학적 표준치가 중요한데 유치열기에 관한 연구는 많지 않으므로 유치열기 정상교합 아동의 표준치를 얻고 과거 연구에서의 계측치와 비교하고자 서울시내 소재의 유아원 아동 중 유치열기의 정상교합을 가진 4세에서 5세 아동으로 본원에 내원한 안모 및 전신 발육 상태가 양호한 아동 46명을 대상으로 측모 두부방사선 계측 사진을 촬영, 분석하여 다음과 같은 결과를 얻었다. 1. 골격상 계측항목에서 각도 계측치는 남녀사이에 유의한 차이가 없고 길이 계측치는 남자가 여자보다 전반적으로 큰 수치를 보였다. 2. SNA는 81.3°, SNB는 76.6°, ANB difference는 4.7°를 나타냈다. 3. Anterior cranial base length에 대한 Mandibular body length의 비율은 남녀모두 0.9:1이었고 Anterior facial height에 대한 Posterior facial height의 백분율은 남자 61.4%, 여자 62.1%를 나타냈다. 4. 치성 계측항목에서는 IMPA는 84.2°, UA to SN은 90.8°를 나타냈다. 5. Ricketts의 심미선에 대하여 상순은 2.6mm, 하순은 2.5mm 전방으로 위치하고 있었다. In the field of pediatric dentistry, comparison and analysis of cephalogram values of children are important for evaluation of growth and development, and are essential to evaluate the craniofacial form and growth pattern for early diagnosis of malocclusion. For this, cephalographic norm values are important, but not many studies on the primary dentition exist. To compare the past norm values of normal occlusion in the primary dentition with current norms, preschool children, 4 to 5 years of age, with normal occlusion in the primary dentition who visited our hospital were examined. Among these children, 46 children with normal facial form and developmental status were chosen for evaluation of cephalogram values. The following results were as follows: 1. For skeletal values, the angular values showed no significant differences between males and females, and the linear values were generally greater in males than females. 2. SNA was 81.3°, SNB was 76.6° and ANB difference was 4.7°. 3. The ratio for Mandibular body length to Anterior cranial base length was 0.9 : 1 for both male and female and the ratio for posterior facial height to anterior facial height was 61.4 % for male, 62.0% for female. 4. For dental values, IMPA was 84.2°, and UA to SN was 90.8°. 5. The upper lip to Ricketts esthetic line was positioned 2.6 mm anteriorly , and the lower lip to Ricketts esthetic line was positioned 2.5 mm anteriorly.
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진피지방이식을 이용한 2차 융비술 1예:2년간의 추적 결과
김준모,서문선,서범석,김석화 대한비과학회 2006 Journal of rhinology Vol.13 No.2
Many allograft materials have been used for performing augmentation rhinoplasty. But in cases involving complications such as infection, inflammation and foreign body reaction, these should be removed and replaced with an autograft material which is more suitable for revision surgery. Frequently, the use of autograft materials, including bone and cartilage, are restricted by many limitations such as unavailability, insufficiency in volume, and resorption. By using the dermofat, however, we achieved good surgical results in revision rhinoplasty from the aspect of volume and donor site morbidity. Thus, we report this case with a review of the literature.
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최병재,서문선,김성오,손흥규,Choi, Byung-Jai,Suh, Moon-Sun,Kim, Seong-Oh,Son, Heung-Kyu 대한소아치과학회 2002 大韓小兒齒科學會誌 Vol.29 No.3
낭종이란 액체 또는 반유동액 물질을 함유하는 병적인 상피로 둘러싸인 공동을 말하며 악골에 발생하는 치성 낭종은 치배, 치관의 잔존 법랑상피, Malassez의 상피잔사 및 구강상피의 기저세포층에서 기원한 낭종을 말한다. 이러한 낭종 발생시 적출술, 조대술, 감압술 및 외과적 절제술의 방법으로 치료가능하며 이는 낭종의 특성, 크기, 주변조직과의 관계, 환자의 나이와 성별 및 협조도와 전암 여부 등을 고려하여 선택하게 된다. 본 증례는 미성숙 영구치가 매복되어 치성 낭종이 발생한 환아에서 감압술을 이용하여 낭종이 제거되고 골조직으로 치유되었으며 매복되었던 영구치가 맹출하였고 낭종이 재발되지 않아 양호한 결과를 얻어 이에 보고하는 바이다. Cyst is a cavity filled with fluids and semi-fluids that is lined with epithelial cells. Odontogenic cysts are those that form within the jaw which origin from dental follicles, enamel epithelium remnants of the crown, Malassez epithelial cell rest and basal cell layer of the oral epithelium. In such cases, treatment methods such as enucleation, marsupialization, decompression, surgical excision etc. can be used according to the lesion's characteristics, size, relationship with the surrounding tissue, patient's age and developmental status. This case was to report an odontogenic cyst caused by an impacted immature permannent tooth and its treatment. The cyst was removed by decompression. Cystic cavity was healed with bone tissue and the impacted permanent tooth erupted without any recurred cystic lesion.
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Amoxicillin Clavulanic Acid에 의해 발병된 Stevens-Johnson 증후군 치험 1예
문인환,서문선,고신우,이호진 대한이비인후과학회 2005 대한이비인후과학회지 두경부외과학 Vol.48 No.1
The Stevens-Johnson syndrome is a severe form of erythema multiforme associated with multiple organ involvement that can result in severe mortality. Various etiologic factors have been reported to include drugs, bacteria, virus, etc. We experienced a case of amoxicillin clavulanic acid induced Stevens-Johnson syndrome with the involvement of oral mucosa, skin, and conjunctiva. This patient was treated with steroid and supportive care. (Korean J Otolaryngol 2005;48:118-20)
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안철민,우원근,김기형,서문선,서범석 대한이비인후과학회 2005 대한이비인후과학회지 두경부외과학 Vol.48 No.7
Background and Objectives:Various phonation patterns yield various voice characteristics. Voice therapy using nasal stimulatory sounds seems to facilitate phonation in voice disodered patients. Under the hypothesis that nasalance may be influenced by the pattern of phonation, we studied the relationship between nasalance and voice disorders by observing abnormal supraglottic movements and vocol cord gaps in phonation. Subjects and Method:There were 143 patients who complained of voice problems and showed abnormal false vocal cord movements under stroboscopy. In addition to the four previously described types of MTD (muscle tension dysphonia), we described two more types of MTD (V:false vocal cord contracted posteriorly, VI:false vocal cord dilated laterally). We measured the vocal cord gaps in phonation and analyzed nasalance. Results:Among those groups showing the pattern of false vocal cord (MTD 1, 2, 4), the vocal cord gaps in phonation were increased and nasalance was significantly decreased in MTD types, III and IV, and showed a tendency to decrease in MTD types, II and V, compared to the normal group. Conclusion:The supraglottis has a tendency to contract as the vocal cord gap in phonation increases, and this movement reduces nasalance.
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