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현용휴,설인택,김영균,여환호,이철우 大韓顎顔面成形再建外科學會 1992 Maxillofacial Plastic Reconstructive Surgery Vol.14 No.4
Facial asymmetry can be most distressing for the young child and parents. It can cause functional problems as a result of malocclusion. Classification of facial asymmetry has not been yet well-organized because of its varieties on etiologic factors, involved sites and clinical expressions. Even though, we don’t know its causes definitely. It is generally believed that problems with aberrant pattern of condylar growth are related to facial asymmetry. This is a case report on surgical correction of the patients who had severe facial asymmetry. One patient was diagnosed as condylar hyperplasia and the other was diagnosed as a condylar hypoplasia related to trauma. We performed a simultaneous two-jaw surgery, condylar shaving, inferior border ostectomy of affected mandible in the former case, and a simultaneous two-jaw surgery, reverse-L osteotomy and alloplastic implantation with Biocoral in the latter case. The postoperative results of the two cases were excellent functionally and esthetically.
이기혁,설인택,김수관 朝鮮大學校 口腔生物學硏究所 1998 口腔生物學硏究 Vol.22 No.1
The purpose for bone grafting alveolar clefts is not to simply close a hole in the alveolus, but to accomplish certain functional and exthesic goals. The accepted goals of alveolar bone grafting are closure of the oronasal fistula; stabilization of the lesser segment; providing adequate bone support for the teeth adjacent to the cleft; allowing for eruption of teeth in the cleft area (canine or lateral incisor teeth) with good bony support; supporting the alar base and lip; establishing good soft tissue contours with adequate keratinized gingiva for periodontal health; and minimizing growth disturbance. there are four periods in which bone grafting of cleft alveolus is performed; primary bone grafting at the time lip or soft palate closure(before 2 years of age); early secondary bone grafting performed between ages 2 and 5; secondary bone grafting performed between ages 5 and 16; late bone grafting over ages 16.
시상골절단술후 발생한 지각이상에 대한 저주파 전자·침 자국요법후 신경평가에 대한 연구
김수민,여환호,설인택 朝鮮大學校 口腔生物學硏究所 1998 口腔生物學硏究 Vol.22 No.1
This retrospective study evaluated neurosensory dysfunction in 13 of whom 3 patients used as the control group and 10 patients used as the experimental group following both split sagittal osteotomy with genioplasty after EAST therapy. Sensory disfunction was checked objectively for postoperative 7 days like light touch, brush stroke direction, and two point discrimination. Acupuncture stimulation of 2㎐, 30minutes, 12㎃, biphasic wave, combined mix, and bilaterally to meridian points(LI4, S5, S6, CV24) was done everyday from the 3rd postoperative day to the 8th postoperative day. The Sensory function recovered earlier in the experimental group than in the control group.
치아회분과 석고혼합제재 매식과 자가골 동시 이식후 치유과정에 관한 실험적 연구
김영균,김흥중,이상호,여환호,임성철,설인택,정재헌 大韓顎顔面成形再建外科學會 2000 Maxillofacial Plastic Reconstructive Surgery Vol.22 No.1
The purpose of this study was to evaluate the efficacy of adding autogenous bone to the toothash-plaster mixture in the healing process of bone. Full-thickness round osseous defects with the diameter of 20mm were made at the calvarial bone of adult dogs (n=19) bilaterally, which were thought to be critical size defect. The right defects were repaired with the toothash-plaster mixture plus autogenous bone (compressed volume 0.3cc) and the left defects with only toothash-plaster mixture. At 2-, 4-, 8-, 12- and 20- week after implantation, dogs were sacrificed and evaluated the osseous healing of bony defects clinically, radiographically, and microscopically. The results were as follows : 1. At the clinical observation, the wound healed very well without any problem except severe swelling in the early period after operation. Slight depression was recognized at the both sides when the portions of cranial defect were palpated. 2. There were statistically significant differences between toothash-plaster mixture groups and autogenous bone added groups at the same period, and among the groups in the bone density of the digital radiograms (P<0.001).There was a tendency that bone density was increasing with time. 3. In light microscopic examination, new bone formation was more active in the autogenous bone added groups than toothash-plaster mixture groups at the early period after mplantation but there is little difference at 20-week after implantation. 4. In fluorescent microscopic examination, the fluorescent band could be observed at the area of active bone formation and the band was more distinct in the autogenous bone added groups then toothash-plaster mixture groups. 5. In transmitted electron microscopic examination, organelles such as rER, Golgi complex and secretory granule and osteoblast were observed. In summary higher volume ratio of autogenous bone is needed to improve the bone healing in that there is little difference between toothash-plaster mixture group and autogenous bone added group at the 20-week after implantation in spite of new bone formation was more active in the autogenous bone added groups than toothash-plaster mixture groups at the early period after operation.
이병준(Byoung Jun Lee),류종회(Chong Hoy Ryu),설인택(In Taek Seol),김영균(Young Kyun Kim),김수관(Su Kwan Kim) 대한구강악안면외과학회 1993 대한구강악안면외과학회지 Vol.19 No.2
Tetanus is a disorder of neurotransmission associated with infection by Clostridium tetani, and is characterized by convulsive spasm. The organisms produce the exotoxin tetanospasmin which involves the neuromuscular organs. Most of tetanus are caused by wounds, but in some of cases, portal of entry may not be obvious. History and clinical findings suggest the diagnosis. The most therapeutic maneuver is to insure airway patency, other therapeutic principles include antimicrobial drugs, active and passive immunization and supportive care. A 51-year-old woman with moth opening limitation and dysphagia visited our hospital. We had diagnosed her as tetanus and treated successfully.
김수관(Su Kwan Kim),박인수(In Soo Park),김영균(Yong Gyun Kim),조세인(Se In Cho),이유홍(You Hong Lee),설인택(In Taek Seol) 대한구강악안면외과학회 1993 대한구강악안면외과학회지 Vol.19 No.2
There were 6 deaths in the last 4 years in our dental clinic. The patients died form squamous cell carcinoma, odontogenic infection, adult respiratory distress syndrome(ARDS), and general anesthesia. Each case is analysed and presented, for this subject is rarely dealt in the literature and have relation with a complex medicolegal problem.